Fagerlie, Madison

Fagerlie, Madison is an individual health care provider with primary practice located at 24998 N 74Th Ave , Peoria AZ 85383-6325. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Fagerlie, Madison can be contacted via phone (623) 853-3428.

Contact Information

Primary practice address
24998 N 74Th Ave Peoria AZ 85383-6325
Phone: (623) 853-3428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 012634 Arizona

Profile Details

NPI number 1639922370
LBN Legal business name Fagerlie, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2024
Last updated Sep 9th, 2026 - about 2 months 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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