Agena, Gary Michael

Agena, Gary Michael is an sole proprietor health care provider with primary practice located at 393 Highway 21 Suite 525, Madisonville LA 70447-3407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Agena, Gary Michael can be contacted via phone (985) 845-7121.

Contact Information

Primary practice address
393 Highway 21 Suite 525 Madisonville LA 70447-3407
Phone: (985) 845-7121
Fax: (985) 206-9476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD200946 Louisiana

Profile Details

NPI number 1295768406
LBN Legal business name Agena, Gary Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Feb 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295768406 NPPES
Other 200946 STATE LICENSE
MEDICAID 1504050 STATE LICENSE

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