Bagner, Ernest Anthony

Bagner, Ernest Anthony is an sole proprietor health care provider with primary practice located at 6051 Hollywood Blvd Suite 107, Hollywood CA 90028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bagner, Ernest Anthony can be contacted via phone (323) 461-7575.

Contact Information

Primary practice address
6051 Hollywood Blvd Suite 107 Hollywood CA 90028
Phone: (323) 461-7575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A69614 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A69614 California

Profile Details

NPI number 1194970061
LBN Legal business name Bagner, Ernest Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2008
Last updated Jun 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194970061 NPPES
California Other A69614 LICENSE NUMBER

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