Bagan, Matthew R.

Bagan, Matthew R. is an individual health care provider with primary practice located at 18308 Murdock Cir Unit 105, Port Charlotte FL 33948-1025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bagan, Matthew R. can be contacted via phone (941) 743-4150.

Contact Information

Primary practice address
18308 Murdock Cir Unit 105 Port Charlotte FL 33948-1025
Phone: (941) 743-4150
Fax: (941) 743-4427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS8365 Florida

Profile Details

NPI number 1407819295
LBN Legal business name Bagan, Matthew R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Mar 16th, 2017 - about 7 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 1407819295 NPPES
Florida MEDICAID 001521900
Florida Other 2502907
Florida Other P01271765
Florida Other 324872
Florida Other 7657446
Florida Other P109659
Florida Other P01809468
Florida Other 240249
Florida Other P951432

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