Bagwell, Michael

Bagwell, Michael is an individual health care provider with primary practice located at 950 N 14Th St , Beaumont TX 77702-1111. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bagwell, Michael can be contacted via phone (409) 898-6485.

Contact Information

Primary practice address
950 N 14Th St Beaumont TX 77702-1111
Phone: (409) 898-6485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-040392 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 536442 Texas

Profile Details

NPI number 1679510895
LBN Legal business name Bagwell, Michael
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Mar 21st, 2019 - about 6 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 1679510895 NPPES
Florida Other G3758 BCBS NON PAR NUMBER

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