Bagwell, Justin

Bagwell, Justin is an individual health care provider with primary practice located at 500 Fairway Dr. Ste. 102 Butterfly Effects Llc, Deerfield Beach FL 33441-1624. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as his primary health care specialty. Bagwell, Justin can be contacted via phone (888) 880-9270.

Contact Information

Primary practice address
500 Fairway Dr. Ste. 102 Butterfly Effects Llc Deerfield Beach FL 33441-1624
Fax:
Website:

Profile Details

NPI number 1487074381
LBN Legal business name Bagwell, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2014
Last updated Apr 18th, 2014 - about 10 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.

Request for update

Popular Providers