Bagnall, Kevin Thomas
Bagnall, Kevin Thomas is an sole proprietor health care provider with primary practice located at 16 Haverhill St , Andover MA 01810-3002. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bagnall, Kevin Thomas can be contacted via phone (978) 475-3997.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 15888 | Massachusetts |
Profile Details
| NPI number | 1598794224 |
|---|---|
| LBN Legal business name | Bagnall, Kevin Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1598794224 | NPPES |
| Massachusetts | Other | X05575 | BCBS ID |
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