Bagamery, Matthew Edward
Bagamery, Matthew Edward is an individual health care provider with primary practice located at 979 E 3Rd St Suite C0630, Chattanooga TN 37403-2136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bagamery, Matthew Edward can be contacted via phone (423) 267-5677.Contact Information
Primary practice address
979 E 3Rd St Suite C0630
Chattanooga TN 37403-2136
Phone: (423) 267-5677
Fax: (423) 267-6179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 27097 | Tennessee |
Profile Details
| NPI number | 1174525182 |
|---|---|
| LBN Legal business name | Bagamery, Matthew Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 16th, 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 | 1174525182 | NPPES |
| Tennessee | MEDICAID | 3092972 | |
| Tennessee | Other | GT23509 | |
| Tennessee | Other | BLUE CROSS OF TN | |
| Tennessee | Other | 100008132 | |
| Tennessee | Other | 621553135003 |
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