Bagley, Michele L

Bagley, Michele L is an individual health care provider with primary practice located at 2222 Winchester Ave , Ashland KY 41101-7847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bagley, Michele L can be contacted via phone (606) 325-9644.

Contact Information

Primary practice address
2222 Winchester Ave Ashland KY 41101-7847
Phone: (606) 325-9644
Fax: (606) 329-1207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02284 Kentucky

Profile Details

NPI number 1346211653
LBN Legal business name Bagley, Michele L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 20th, 2009 - about 17 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 1346211653 NPPES
Other 000000045746 BLUE CROSS AND BLUE SHIELD
Other 000000583693 BLUE CROSS AND BLUE SHIELD

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