Bagares, Frederick

Bagares, Frederick is an individual health care provider with primary practice located at 1232 Perimeter Pkwy Ste 205 , Virginia Beach VA 23454-5924. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Bagares, Frederick can be contacted via phone (757) 828-3080.

Contact Information

Primary practice address
1232 Perimeter Pkwy Ste 205 Virginia Beach VA 23454-5924
Phone: (757) 828-3080
Fax: (757) 828-3083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0102204441 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0102204441 Virginia

Profile Details

NPI number 1588942155
LBN Legal business name Bagares, Frederick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2011
Last updated Jan 7th, 2024 - about 11 months 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 1588942155 NPPES
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia MEDICAID 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia Other 1588942155 AETNA
Virginia MEDICAID 1588942155 AETNA
Virginia Other 1588942155 AETNA

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