Dacey, Elizabeth Bagnulo

Dacey, Elizabeth Bagnulo is an individual health care provider with primary practice located at 1225 Highland Avenue , Clarkston WA 99403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Dacey, Elizabeth Bagnulo can be contacted via phone (509) 758-4652.

Contact Information

Primary practice address
1225 Highland Avenue Clarkston WA 99403
Phone: (509) 758-4652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M-14192 Idaho
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD60843598 Washington

Profile Details

NPI number 1265799407
LBN Legal business name Dacey, Elizabeth Bagnulo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Sep 6th, 2018 - about 8 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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