Fagen, Gerald H
Fagen, Gerald H is an sole proprietor health care provider with primary practice located at 2401 Valley Dr , Valparaiso IN 46383-2520. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fagen, Gerald H can be contacted via phone (219) 413-5100.Contact Information
Primary practice address
2401 Valley Dr
Valparaiso IN 46383-2520
Phone: (219) 413-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 26016923A | Indiana |
Profile Details
| NPI number | 1972083442 |
|---|---|
| LBN Legal business name | Fagen, Gerald H |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2018 |
| Last updated | Jun 30th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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