Bagale, Elias John
Bagale, Elias John is an individual health care provider with primary practice located at 2001 Lake Avenue , Pueblo CO 81004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bagale, Elias John can be contacted via phone (719) 564-0080.Contact Information
Primary practice address
2001 Lake Avenue
Pueblo CO 81004
Phone: (719) 564-0080
Fax: (719) 564-0081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18741 | Colorado |
Profile Details
| NPI number | 1902866486 |
|---|---|
| LBN Legal business name | Bagale, Elias John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902866486 | NPPES |
| Colorado | MEDICAID | 83608770 |
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