Fager, Samuel Shaw

Fager, Samuel Shaw is an sole proprietor health care provider with primary practice located at 1415 Old Gulph Rd , Villanova PA 19085-2041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fager, Samuel Shaw can be contacted via phone (610) 520-0246.

Contact Information

Primary practice address
1415 Old Gulph Rd Villanova PA 19085-2041
Fax: (610) 525-3737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 028579 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G37093 California

Profile Details

NPI number 1780112078
LBN Legal business name Fager, Samuel Shaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2017
Last updated May 31st, 2017 - about 9 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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