Bagwell, Mandie E
Bagwell, Mandie E is an individual health care provider with primary practice located at 14410 Route 37 , Johnston City IL 62951-3166. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bagwell, Mandie E can be contacted via phone (618) 983-6911.Contact Information
Primary practice address
14410 Route 37
Johnston City IL 62951-3166
Phone: (618) 983-6911
Fax: (618) 983-6913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209007566 | Illinois |
Profile Details
| NPI number | 1720214794 |
|---|---|
| LBN Legal business name | Bagwell, Mandie E |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2009 |
| Last updated | Jun 4th, 2009 - about 15 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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