Bagley, Wade James

Bagley, Wade James is an individual health care provider with primary practice located at 1715 26Th St , Lubbock TX 79411-1524. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bagley, Wade James can be contacted via phone (806) 780-8300.

Contact Information

Primary practice address
1715 26Th St Lubbock TX 79411-1524
Phone: (806) 780-8300
Fax: (806) 780-8383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 34686 Texas

Profile Details

NPI number 1184134553
LBN Legal business name Bagley, Wade James
Credentials LCDCI
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2017
Last updated Oct 30th, 2017 - about 9 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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