Bagley, Michael Andrew
Bagley, Michael Andrew is an sole proprietor health care provider with primary practice located at 7975 Fountain Mesa Rd , Fountain CO 80817-1535. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bagley, Michael Andrew can be contacted via phone (719) 573-2020.Contact Information
Primary practice address
7975 Fountain Mesa Rd
Fountain CO 80817-1535
Phone: (719) 573-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.0003312 | Colorado |
Profile Details
| NPI number | 1114380482 |
|---|---|
| LBN Legal business name | Bagley, Michael Andrew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2016 |
| Last updated | Sep 15th, 2020 - about 4 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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