Bagley, Linda J

Bagley, Linda J is an individual health care provider with primary practice located at 3400 Spruce Street Ground Floor Flounder, Philadelphia PA 19104-4206. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Bagley, Linda J can be contacted via phone (215) 662-3005.

Contact Information

Primary practice address
3400 Spruce Street Ground Floor Flounder Philadelphia PA 19104-4206
Phone: (215) 662-3005
Fax: (215) 662-7011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD051842L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD051842L Pennsylvania

Profile Details

NPI number 1124054275
LBN Legal business name Bagley, Linda J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 1st, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124054275 NPPES
Pennsylvania MEDICAID 0015763600002

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