Bardgette, John J
Bardgette, John J is an individual health care provider with primary practice located at 2329 N 39Th St , Waco TX 76708-3003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bardgette, John J can be contacted via phone (254) 752-5503.Contact Information
Primary practice address
2329 N 39Th St
Waco TX 76708-3003
Phone: (254) 752-5503
Fax: (254) 752-4844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | E2458 | Texas |
Profile Details
| NPI number | 1417996208 |
|---|---|
| LBN Legal business name | Bardgette, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Feb 27th, 2008 - about 17 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 | 1417996208 | NPPES |
| Texas | MEDICAID | 119142101 |
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