Bagatell, Jarrod Lawrence
Bagatell, Jarrod Lawrence is an individual health care provider with primary practice located at 115 Fairgrounds Drive , Manlius NY 13104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bagatell, Jarrod Lawrence can be contacted via phone (315) 682-6165.Contact Information
Primary practice address
115 Fairgrounds Drive
Manlius NY 13104
Phone: (315) 682-6165
Fax: (315) 682-7929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1979451 | New York |
Profile Details
| NPI number | 1144335845 |
|---|---|
| LBN Legal business name | Bagatell, Jarrod Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Nov 15th, 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 | 1144335845 | NPPES |
| New York | MEDICAID | 01690422 |
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