Tagge, Edward

Tagge, Edward is an individual health care provider with primary practice located at 11370 Anderson St Suite 2100, Loma Linda CA 92354-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Tagge, Edward can be contacted via phone (909) 558-2282.

Contact Information

Primary practice address
11370 Anderson St Suite 2100 Loma Linda CA 92354-3450
Phone: (909) 558-2282
Fax: (909) 558-2125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 15516 South Carolina

Profile Details

NPI number 1255446100
LBN Legal business name Tagge, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Sep 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255446100 NPPES
South Carolina MEDICAID 155165

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