Bagarinao, Fay
Bagarinao, Fay is an individual health care provider with primary practice located at 155 E Bethalto Dr , Bethalto IL 62010-1801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bagarinao, Fay can be contacted via phone (618) 377-8961.Contact Information
Primary practice address
155 E Bethalto Dr
Bethalto IL 62010-1801
Phone: (618) 377-8961
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036107093 | Illinois |
Profile Details
| NPI number | 1790898575 |
|---|---|
| LBN Legal business name | Bagarinao, Fay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1790898575 | NPPES |
| Illinois | MEDICAID | 0361070933 |
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