Gonzales-Bagdon, Calle A
Gonzales-Bagdon, Calle A is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1820. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gonzales-Bagdon, Calle A can be contacted via phone (509) 765-5606.Contact Information
Primary practice address
801 E Wheeler Rd
Moses Lake WA 98837-1820
Phone: (509) 765-5606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MED-PHYS-LIC-103519 | Montana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G-71741 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16068 | New Hampshire |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 16068 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 16068 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD11372 | Hawaii |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD61092894 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD61092894 | Washington |
Profile Details
| NPI number | 1447360359 |
|---|---|
| LBN Legal business name | Gonzales-Bagdon, Calle A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 18th, 2022 - about 2 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 | 1447360359 | NPPES |
| Washington | MEDICAID | 2168392 | |
| Washington | MEDICAID | MD34321 |
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