Bagby, Andrew T

Bagby, Andrew T is an sole proprietor health care provider with primary practice located at 601 Mc Cain Blvd , San Diego CA 92135. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bagby, Andrew T can be contacted via phone (619) 545-4359.

Contact Information

Primary practice address
601 Mc Cain Blvd San Diego CA 92135
Phone: (619) 545-4359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101267432 Virginia

Profile Details

NPI number 1144723289
LBN Legal business name Bagby, Andrew T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2018
Last updated Aug 27th, 2020 - about 5 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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