Bagas, Suzanne C
Bagas, Suzanne C is an individual health care provider with primary practice located at 121 S Front Street , Seaford DE 19973-3511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bagas, Suzanne C can be contacted via phone (302) 629-5030.Contact Information
Primary practice address
121 S Front Street
Seaford DE 19973-3511
Phone: (302) 629-5030
Fax: (302) 629-5035
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MO105925 | Missouri |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C10008189 | Delaware |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C10008189 | Delaware |
Profile Details
NPI number | 1932125812 |
---|---|
LBN Legal business name | Bagas, Suzanne C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2006 |
Last updated | Dec 27th, 2011 - about 14 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 | 1932125812 | NPPES |
Pennsylvania | MEDICAID | 102049890 | |
Pennsylvania | MEDICAID | 413728100 | |
Pennsylvania | MEDICAID | 0147010 |
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