Bagwell, Brian L

Bagwell, Brian L is an individual health care provider with primary practice located at 1501 Albion St , Denver CO 80220-1028. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bagwell, Brian L can be contacted via phone (303) 399-4890.

Contact Information

Primary practice address
1501 Albion St Denver CO 80220-1028
Phone: (303) 399-4890
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2809 Colorado

Profile Details

NPI number 1902023062
LBN Legal business name Bagwell, Brian L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1902023062 NPPES
Colorado MEDICAID 46838848

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