Bagley, James Andrew
Bagley, James Andrew is an individual health care provider with primary practice located at 4904 Convention Dr. , Pasco WA 99301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bagley, James Andrew can be contacted via phone (509) 547-1631.Contact Information
Primary practice address
4904 Convention Dr.
Pasco WA 99301
Phone: (509) 547-1631
Fax: (509) 547-3885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE7684 | Washington |
Profile Details
| NPI number | 1992835045 |
|---|---|
| LBN Legal business name | Bagley, James Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992835045 | NPPES |
| Washington | MEDICAID | 5050422 |
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