Bagley, Douglas K

Bagley, Douglas K is an individual health care provider with primary practice located at 1055 N 500 W Suite 207, Provo UT 84604-3305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Bagley, Douglas K can be contacted via phone (801) 375-4263.

Contact Information

Primary practice address
1055 N 500 W Suite 207 Provo UT 84604-3305
Phone: (801) 375-4263
Fax: (801) 429-8085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 121795-2401 Utah

Profile Details

NPI number 1538155411
LBN Legal business name Bagley, Douglas K
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 27th, 2023 - about last year

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 1538155411 NPPES
Utah Other 77717 PEHP
Utah Other 6400377 PEHP
Utah Other 0224632005 PEHP

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