NPI 1720189012 · live from the CMS NPI Registry
Roger Fagan, AuD
Audiologist-Hearing Aid Fitter in Portland, ME. National Provider Identifier 1720189012, active.
NPI record
| NPI | 1720189012 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 985 Forest Avenue, Portland, ME 04103 |
| Practice phone | 207-797-8738 |
| Enumerated | September 26, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | James Fagan |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter primary | 237600000X | DL95 (ME) |
| Audiologist-Hearing Aid Fitter | 237600000X | AP25 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.