Bagg, Stephen Alan

Bagg, Stephen Alan is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bagg, Stephen Alan can be contacted via phone (843) 724-2000.

Contact Information

Primary practice address
316 Calhoun St Charleston SC 29401-1113
Phone: (843) 724-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X LL29784 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200901462 North Carolina

Profile Details

NPI number 1912103722
LBN Legal business name Bagg, Stephen Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Feb 13th, 2014 - about 10 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 1912103722 NPPES
South Carolina Other P01200056 RR MEDICARE SC
South Carolina MEDICAID 297841 RR MEDICARE SC

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