Bagley, Sam
Bagley, Sam is an sole proprietor health care provider with primary practice located at 401 Viduta Pl Se , Huntsville AL 35801-1031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bagley, Sam can be contacted via phone (256) 714-2684.Contact Information
Primary practice address
401 Viduta Pl Se
Huntsville AL 35801-1031
Phone: (256) 714-2684
Fax: (256) 489-7119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4341A | Wyoming |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 4131A | Wyoming |
Profile Details
| NPI number | 1083864904 |
|---|---|
| LBN Legal business name | Bagley, Sam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2008 |
| Last updated | Sep 27th, 2008 - 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.
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