# WILLIAM FAGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417976143
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC163 | HI | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 09/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 235226 | HMSA - 65CP - HMSA QUEST | HI |
| 05 | — | 54551901 | — | HI |
| 01 | — | 990176859 | HMAA | HI |