Bagwell, Michael Brian

Bagwell, Michael Brian is an individual health care provider with primary practice located at 2778 Highway 51 S , Senatobia MS 38668-9403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bagwell, Michael Brian can be contacted via phone (662) 560-5966.

Contact Information

Primary practice address
2778 Highway 51 S Senatobia MS 38668-9403
Phone: (662) 560-5966
Fax: (662) 560-5969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19146 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19146 Mississippi

Profile Details

NPI number 1558306019
LBN Legal business name Bagwell, Michael Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 1st, 2021 - about 3 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 1558306019 NPPES
Mississippi MEDICAID 08085016

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