Bagg, Douglas Stewart

Bagg, Douglas Stewart is an individual health care provider with primary practice located at 10100 Baymeadows Rd Apt 210 , Jacksonville FL 32256-7100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bagg, Douglas Stewart can be contacted via phone (386) 984-8790.

Contact Information

Primary practice address
10100 Baymeadows Rd Apt 210 Jacksonville FL 32256-7100
Phone: (386) 984-8790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1164995395
LBN Legal business name Bagg, Douglas Stewart
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2019
Last updated Jan 10th, 2019 - 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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