Bagwell, Janette T

Bagwell, Janette T is an individual health care provider with primary practice located at 189 Keystone Rd , Monroe LA 71203-8936. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bagwell, Janette T can be contacted via phone (318) 664-5442.

Contact Information

Primary practice address
189 Keystone Rd Monroe LA 71203-8936
Fax: (318) 665-4425
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4042 Louisiana

Profile Details

NPI number 1447357264
LBN Legal business name Bagwell, Janette T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447357264 NPPES
Other 5545101 AETNA
Other G7798 AETNA
MEDICAID 1840424 AETNA

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