Fagley, Richard Eliot

Fagley, Richard Eliot is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fagley, Richard Eliot can be contacted via phone (206) 341-1743.

Contact Information

Primary practice address
1100 9Th Ave Seattle WA 98101-2756
Phone: (206) 341-1743
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2006023101 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 2006023101 Missouri
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2006023101 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD60219192 Washington

Profile Details

NPI number 1568471282
LBN Legal business name Fagley, Richard Eliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 4th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568471282 NPPES
Missouri MEDICAID 201473709

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