Bagnoli, Michael Leonard
Bagnoli, Michael Leonard is an individual health care provider with primary practice located at 2020 Union Street Suite 200, Lafayette IN 47904. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bagnoli, Michael Leonard can be contacted via phone (765) 446-8808.Contact Information
Primary practice address
2020 Union Street Suite 200
Lafayette IN 47904
Phone: (765) 446-8808
Fax: (765) 446-9567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12008541A | Indiana |
Profile Details
| NPI number | 1700976719 |
|---|---|
| LBN Legal business name | Bagnoli, Michael Leonard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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