Bakarich, Michael A.

Bakarich, Michael A. is an individual health care provider with primary practice located at 1602 Vernon Rd Ste 200 , Lagrange GA 30240-4129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Bakarich, Michael A. can be contacted via phone (706) 880-7252.

Contact Information

Primary practice address
1602 Vernon Rd Ste 200 Lagrange GA 30240-4129
Phone: (706) 880-7252
Fax: (770) 999-2687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 02655 Kentucky
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 060793 Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 060793 Georgia

Profile Details

NPI number 1699790071
LBN Legal business name Bakarich, Michael A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 18th, 2022 - about 4 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 1699790071 NPPES
Georgia Other 060793 GA LIC #
Georgia Other 1224988 GA LIC #
Georgia Other 000000369572 GA LIC #
Georgia MEDICAID 104792175A GA LIC #
Georgia MEDICAID 64023674 GA LIC #
Georgia Other 7238699 GA LIC #
Georgia Other 364489332 GA LIC #

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