Bagley, Judith A.

Bagley, Judith A. is an individual health care provider with primary practice located at 1 Main St , Racine WI 53403-1079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bagley, Judith A. can be contacted via phone (262) 687-6100.

Contact Information

Primary practice address
1 Main St Racine WI 53403-1079
Phone: (262) 687-6100
Fax: (262) 687-2727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 458 Wisconsin

Profile Details

NPI number 1063446482
LBN Legal business name Bagley, Judith A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 12th, 2010 - about 15 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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