Lagesse, Philip Carey

Lagesse, Philip Carey is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lagesse, Philip Carey can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-0000
Fax: (541) 266-4534
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD16611 Oregon

Profile Details

NPI number 1326022997
LBN Legal business name Lagesse, Philip Carey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Mar 22nd, 2010 - about 14 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 1326022997 NPPES
Oregon Other 1407812365 NBMC NPI NUMBER-GROUP
Oregon Other R0000WFBTV NBMC NPI NUMBER-GROUP
Oregon MEDICAID 032099 NBMC NPI NUMBER-GROUP

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