Bagge, Marla J
Bagge, Marla J is an individual health care provider with primary practice located at 525 W Madison Ave , Wheaton IL 60187-4069. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bagge, Marla J can be contacted via phone (630) 989-8904.Contact Information
Primary practice address
525 W Madison Ave
Wheaton IL 60187-4069
Phone: (630) 989-8904
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209001903 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209012338 | Illinois |
Profile Details
NPI number | 1427064708 |
---|---|
LBN Legal business name | Bagge, Marla J |
Credentials | CNM, FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | Apr 1st, 2015 - 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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