Bagnall, Tabitha

Bagnall, Tabitha is an individual health care provider with primary practice located at 750 Imperial St , Christiansburg VA 24073-5309. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bagnall, Tabitha can be contacted via phone (540) 382-5100.

Contact Information

Primary practice address
750 Imperial St Christiansburg VA 24073-5309
Phone: (540) 382-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 0813000654 Virginia

Profile Details

NPI number 1346741048
LBN Legal business name Bagnall, Tabitha
Credentials ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Dec 9th, 2019 - about 5 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 1346741048 NPPES
Virginia MEDICAID 0813000654

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