Bagnell-Leonardo, Jaime T

Bagnell-Leonardo, Jaime T is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bagnell-Leonardo, Jaime T can be contacted via phone (734) 936-4000.

Contact Information

Primary practice address
1500 E Medical Center Dr Ann Arbor MI 48109-5000
Phone: (734) 936-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704209675 Michigan

Profile Details

NPI number 1689640526
LBN Legal business name Bagnell-Leonardo, Jaime T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 10th, 2020 - about 4 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 1689640526 NPPES
Michigan Other 430F364420 BCBSM
Michigan MEDICAID 4327205 BCBSM

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