Mr. James E Fagan
Periodontist
2301 N Hwy 190 Suite #1
Covington
, Louisiana 70433
Mr. James E Fagan
Periodontist
2301 N Hwy 190 Suite #1
Covington
, Louisiana 70433
(985) 892-1302
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Mr. James E Fagan
- 2301 N Hwy 190 Suite #1
- Covington, LA
- Zip : 70433
- Fax : (985) 892-1302
- Phone : (985) 892-1113
Second Address
- Mr. James E Fagan
- 2301 N Hwy 190 Suite #1
- Covington, LA
- Zip : 70433
- Fax : (985) 892-1302
- Phone : (985) 892-1113
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 3079 | LA |
National Provider Identifier
| NPI | 1073738985 |
|---|---|
| Provider Name | Mr. James E Fagan |
| First Address | Covington, LA 70433 |
| Second Address | Covington, LA 70433 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.