Bagnato, Vito John
Bagnato, Vito John is an individual health care provider with primary practice located at 420 Charter Blvd Suite 103, Macon GA 31210-4854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bagnato, Vito John can be contacted via phone (478) 471-8484.Contact Information
Primary practice address
420 Charter Blvd Suite 103
Macon GA 31210-4854
Phone: (478) 471-8484
Fax: (478) 471-8487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 45711 | Georgia |
Profile Details
| NPI number | 1508853219 |
|---|---|
| LBN Legal business name | Bagnato, Vito John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jan 20th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508853219 | NPPES |
| Georgia | MEDICAID | 00798663A |
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