Nagel, Fred G
Nagel, Fred G is an individual health care provider with primary practice located at 1701 Club Manor Dr Suite 2, Maumelle AR 72113-7400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nagel, Fred G can be contacted via phone (501) 851-7400.Contact Information
Primary practice address
1701 Club Manor Dr Suite 2
Maumelle AR 72113-7400
Phone: (501) 851-7400
Fax: (501) 851-4753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C68072 | Arkansas |
Profile Details
| NPI number | 1922016674 |
|---|---|
| LBN Legal business name | Nagel, Fred G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Feb 28th, 2012 - about 14 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 | 1922016674 | NPPES |
| Arkansas | MEDICAID | 113243001 |
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