Bagley, Peter H

Bagley, Peter H is an individual health care provider with primary practice located at 6 Glen Cove Dr , Rockport ME 04856-4272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bagley, Peter H can be contacted via phone (207) 301-8542.

Contact Information

Primary practice address
6 Glen Cove Dr Rockport ME 04856-4272
Phone: (207) 301-8542
Fax: (207) 301-5277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 73375 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD21833 Maine

Profile Details

NPI number 1003899683
LBN Legal business name Bagley, Peter H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Oct 10th, 2023 - about 2 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 1003899683 NPPES
Massachusetts MEDICAID 3068315

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