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Contact Information

VIRGINIA S FAGAN
29 RESTER RD
PERKINSTON, MS39573-4947
 Phone: 228-343-3105
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Adult Companion

372600000X
Indicates primary specialty

NPI Profile & details for VIRGINIA S FAGAN · (Female)

NPI # 1568188100
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2022
Last updated 10/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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