Dacey, Elizabeth Bagnulo
Dacey, Elizabeth Bagnulo is an individual health care provider with primary practice located at 1225 Highland Avenue , Clarkston WA 99403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Dacey, Elizabeth Bagnulo can be contacted via phone (509) 758-4652.Contact Information
Primary practice address
1225 Highland Avenue
Clarkston WA 99403
Phone: (509) 758-4652
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | M-14192 | Idaho |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD60843598 | Washington |
Profile Details
| NPI number | 1265799407 |
|---|---|
| LBN Legal business name | Dacey, Elizabeth Bagnulo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2012 |
| Last updated | Sep 6th, 2018 - 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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