Bagnall, Andrea Renee

Bagnall, Andrea Renee is an individual health care provider with primary practice located at 2934 W Palo Verde St , Thatcher AZ 85552. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bagnall, Andrea Renee can be contacted via phone (928) 651-4245.

Contact Information

Primary practice address
2934 W Palo Verde St Thatcher AZ 85552
Phone: (928) 651-4245
Fax: (928) 428-2378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0248 Arizona

Profile Details

NPI number 1649625310
LBN Legal business name Bagnall, Andrea Renee
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2016
Last updated Apr 29th, 2016 - about 8 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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