Bage, Seyoum Daffo

Bage, Seyoum Daffo is an individual health care provider with primary practice located at 800 Grand Central Mall Ste 10 , Vienna WV 26105-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bage, Seyoum Daffo can be contacted via phone (304) 916-1288.

Contact Information

Primary practice address
800 Grand Central Mall Ste 10 Vienna WV 26105-4100
Phone: (304) 916-1288
Fax: (304) 916-1289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 21587 West Virginia

Profile Details

NPI number 1609842640
LBN Legal business name Bage, Seyoum Daffo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 9th, 2013 - about 13 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 1609842640 NPPES
Ohio MEDICAID 2502232
Ohio MEDICAID 3810000748

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