Bagwell, Sandra
Bagwell, Sandra is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Bagwell, Sandra can be contacted via phone (207) 662-2179.Contact Information
Primary practice address
22 Bramhall St
Portland ME 04102
Phone: (207) 662-2179
Fax: (207) 662-6326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 012416 | Maine |
Profile Details
| NPI number | 1659586048 |
|---|---|
| LBN Legal business name | Bagwell, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Apr 24th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659586048 | NPPES |
| Maine | MEDICAID | 284390099 |
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