Bagwell, Charles E

Bagwell, Charles E is an individual health care provider with primary practice located at 7101 Jahnke Rd , Richmond VA 23225-4017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Bagwell, Charles E can be contacted via phone (804) 828-3500.

Contact Information

Primary practice address
7101 Jahnke Rd Richmond VA 23225-4017
Phone: (804) 828-3500
Fax: (804) 828-8606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 0101028756 Virginia

Profile Details

NPI number 1265423735
LBN Legal business name Bagwell, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jan 28th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265423735 NPPES
Virginia MEDICAID 010043891

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