Bagan, Seth Charles

Bagan, Seth Charles is an individual health care provider with primary practice located at 1355 N. 205Th St. , Shoreline WA 98133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bagan, Seth Charles can be contacted via phone (617) 414-2080.

Contact Information

Primary practice address
1355 N. 205Th St. Shoreline WA 98133
Phone: (617) 414-2080
Fax: (617) 414-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00040378 Washington

Profile Details

NPI number 1245206200
LBN Legal business name Bagan, Seth Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Sep 12th, 2012 - 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 1245206200 NPPES
Washington MEDICAID 1245206200
Washington Other 0256490

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