Bagdade, Paul S

Bagdade, Paul S is an sole proprietor health care provider with primary practice located at 2945 Hazelwood St Ste 200 , Maplewood MN 55109-1243. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bagdade, Paul S can be contacted via phone (612) 440-6315.

Contact Information

Primary practice address
2945 Hazelwood St Ste 200 Maplewood MN 55109-1243
Phone: (612) 440-6315
Fax: (651) 471-9442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 4527 Minnesota

Profile Details

NPI number 1699785196
LBN Legal business name Bagdade, Paul S
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Oct 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699785196 NPPES
Minnesota Other 519T2BA BCBS
Minnesota MEDICAID 093464000 BCBS
Minnesota Other HP48607 BCBS

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