Active NPIIndividual providerSole proprietor

Sean Fagan

Massage Therapist in Gloucester, Massachusetts

NPI Number1588025282
Practice location
10 Western Ave, Gloucester, MA 01930-3645
Fax
—
Last updated
March 9, 2016

Sean Fagan is a Massage Therapist based in Gloucester, MA. Sean Fagan practices in Gloucester, MA. The NPI Number for Sean Fagan is 1588025282 and holds a License No. 12492 (MA). The current practice location address for Sean Fagan is 10 Western Ave, Gloucester, MA 01930-3645 and can be reached out via phone at 978-381-5636.

Provider Profile Details

NPI Number
1588025282
Provider Name
Sean Fagan
Provider Entity Type
Individual
Gender
Male
Address
10 Western Ave, Gloucester, MA 01930-3645
Phone Number
978-381-5636
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2016
Last Update Date
March 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Western Ave
Gloucester, MA 01930-3645
Zip
01930-3645
Phone Number
978-381-5636
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
10 Western Ave
Gloucester, MA 01930-3645
City
Gloucester
State
MA
Zip
01930-3645
Phone Number
978-381-5636

License Information

License Number
12492
License State
MA
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sean Fagan?

The NPI number of Sean Fagan is 1588025282. It was assigned on March 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Sean Fagan?

Sean Fagan is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 12492.

Where does Sean Fagan practice?

The practice location is 10 Western Ave, Gloucester, MA 01930-3645. The office can be reached at 978-381-5636 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588025282 directly on the NPPES registry website.

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