Bagniewski, Abe Charles

Bagniewski, Abe Charles is an sole proprietor health care provider with primary practice located at 165 Lilly Rd Ne , Olympia WA 98506-5086. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Bagniewski, Abe Charles can be contacted via phone (360) 438-9092.

Contact Information

Primary practice address
165 Lilly Rd Ne Olympia WA 98506-5086
Phone: (360) 438-9092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000775 Washington
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO00000775 Washington

Profile Details

NPI number 1790790376
LBN Legal business name Bagniewski, Abe Charles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2006
Last updated Jun 30th, 2021 - about 3 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 1790790376 NPPES
Washington Other 0204603 STATE L&I
Washington MEDICAID 1001166 STATE L&I
Washington Other 8940526 STATE L&I

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