Bagley, Jacob
Bagley, Jacob is an individual health care provider with primary practice located at Courthouse Rd Building A66, Camp Lejeune NC 28547. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bagley, Jacob can be contacted via phone (910) 440-7925.Contact Information
Primary practice address
Courthouse Rd Building A66
Camp Lejeune NC 28547
Phone: (910) 440-7925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1609556273 |
|---|---|
| LBN Legal business name | Bagley, Jacob |
| Credentials | SOIDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2023 |
| Last updated | Jul 19th, 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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