Bagaza, Jean B

Bagaza, Jean B is an individual health care provider with primary practice located at 242 Carrowmoore Dr , Pickerington OH 43147-3511. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is his primary health care specialty. Bagaza, Jean B can be contacted via phone (515) 380-5393.

Contact Information

Primary practice address
242 Carrowmoore Dr Pickerington OH 43147-3511
Phone: (515) 380-5393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X Ohio
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X Ohio

Profile Details

NPI number 1386420503
LBN Legal business name Bagaza, Jean B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2023
Last updated Sep 4th, 2023 - about 2 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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