Fago, Heather M
Fago, Heather M is an individual health care provider with primary practice located at 2114 N Lincoln Ave Suite A, York NE 68467-1072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fago, Heather M can be contacted via phone (402) 362-5555.Contact Information
Primary practice address
2114 N Lincoln Ave Suite A
York NE 68467-1072
Phone: (402) 362-5555
Fax: (402) 362-7137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TEP5093 | Nebraska |
Profile Details
| NPI number | 1689680605 |
|---|---|
| LBN Legal business name | Fago, Heather M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jan 24th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689680605 | NPPES |
| Nebraska | MEDICAID | 47055301100 |
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