Badgwell, Jon Michael
Badgwell, Jon Michael is an individual health care provider with primary practice located at 801 7Th Ave , Fort Worth TX 76104-2733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Badgwell, Jon Michael can be contacted via phone (682) 885-4054.Contact Information
Primary practice address
801 7Th Ave
Fort Worth TX 76104-2733
Phone: (682) 885-4054
Fax: (682) 885-7497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D8139 | Texas |
Profile Details
| NPI number | 1053315010 |
|---|---|
| LBN Legal business name | Badgwell, Jon Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | May 26th, 2010 - about 16 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 | 1053315010 | NPPES |
| New Mexico | MEDICAID | V2811 | |
| New Mexico | MEDICAID | 100128470A | |
| New Mexico | MEDICAID | 107880102 | |
| New Mexico | Other | 107880104 | |
| New Mexico | Other | 137345809 | |
| New Mexico | Other | 140442853 | |
| New Mexico | Other | 00N47F | |
| New Mexico | Other | 201000424 | |
| New Mexico | Other | B174 | |
| New Mexico | MEDICAID | 129844006 | |
| New Mexico | Other | 87249Z | |
| New Mexico | Other | 129844011 | |
| New Mexico | Other | 1447220850 | |
| New Mexico | MEDICAID | 201000424 | |
| New Mexico | MEDICAID | 129844008 | |
| New Mexico | MEDICAID | 129844010 | |
| New Mexico | Other | 8F0118 |
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