WILLIAM FAGAN D.C. NPI 1417976143

NPI Information

NPI: 1417976143
Provider Name: WILLIAM FAGAN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Organization: MAUI MEDICAL GROUP INC Address:
2180 MAIN ST
WAILUKU, HI
ZIP 96793
Phone: (808) 242-6464
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William Fagan, D.C. is a chiropractor in Wailuku, HI with 46 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. William Fagan, D.C. NPI is 1417976143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PASADENA COLLEGE OF CHIROPRACTIC
Graduation Year:1978

The provider's business location address is:

2180 MAIN ST
WAILUKU, HI
ZIP 96793-666
Phone: (808) 242-6464
Fax: (808) 984-7442

The enumeration date for this NPI number is 7/19/2006 and was last updated on 9/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC163	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	990176859	OTHER	HAWAII	HMAA
2	54551901	MEDICAID	HAWAII
3	T04851	MEDICARE UPIN	HAWAII
4	235226	OTHER	HAWAII	HMSA - 65CP - HMSA QUEST
5	350054897	MEDICARE ID-TYPE UNSPECIFIED	HAWAII	RAILROAD MEDICARE
6	H54583	MEDICARE PIN	HAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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