Leonard Simon Fagan in Milwaukee - Specialist
Leonard Simon Fagan - NPI 1104812171
Leonard Simon Fagan is a Specialist in Milwaukee, Wisconsin. Leonard Simon Fagan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Leonard Simon Fagan is 1104812171. The last update date is 2022-10-03.
Leonard Simon Fagan's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4143892233. The mailing address for Leonard Simon Fagan is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonard Simon Fagan |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4143892233 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104812171 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2022-10-03 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4143892233 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 46372-020 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34485700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leonard Simon Fagan by the Centers for Medicare & Medicaid Services?
The Leonard Simon Fagan has been issued the NPI (National Provider Identifier) 1104812171 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Leonard Simon Fagan's physical address?
The Leonard Simon Fagan is physically located at 3301 W Forest Home Ave, in the city of Milwaukee, WI, with the postal code 532152843.
What is Leonard Simon Fagan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leonard Simon Fagan's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Leonard Simon Fagan receive its 1104812171?
The Leonard Simon Fagan was issued its 1104812171 on 2005-09-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Leonard Simon Fagan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leonard Simon Fagan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-10-03.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY