Abe Charles Bagniewski in Olympia - Foot & Ankle Surgery

Abe Charles Bagniewski - NPI 1790790376

Abe Charles Bagniewski is a Foot & Ankle Surgery in Olympia, Washington. Abe Charles Bagniewski practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Abe Charles Bagniewski is 1790790376. The last update date is 2021-06-30.

Abe Charles Bagniewski's current location address is 165 Lilly Rd Ne Ste A, Olympia, Washington. You can contact this provider via phone number 3604389092 and fax number 3604383906. The mailing address for Abe Charles Bagniewski is 165 Lilly Rd Ne Ste A, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Abe Charles Bagniewski
Address 165 Lilly Rd Ne Ste A, Olympia, Washington
Phone Number 3604389092
Fax Number 3604383906
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1790790376
Provider Enumeration Date 2006-07-30
Last Updated Date 2021-06-30

Provider Mailing Address Detail

Address 165 Lilly Rd Ne Ste A
City Olympia
State Washington (WA)
Post Code 985065086
Phone Number 3604389092
Fax Number 3604383906

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No PO00000775
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
204603 WA STATE L&I
1001166 WA --
8940526 WA CRIME VICTIMS

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FAQs about Abe Charles Bagniewski

What is the unique 10-digit identifier code assigned to Abe Charles Bagniewski by the Centers for Medicare & Medicaid Services?

The Abe Charles Bagniewski has been issued the NPI (National Provider Identifier) 1790790376 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Abe Charles Bagniewski's facilities are geographically located?

The facilities of Abe Charles Bagniewski are physically situated at the following location: 165 Lilly Rd Ne Ste A, Olympia, WA, 985065086.

What is the Abe Charles Bagniewski's area of specialization and corresponding taxonomy classification?

The Abe Charles Bagniewski's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.

On what date was the 1790790376 assigned to Abe Charles Bagniewski?

The Abe Charles Bagniewski was issued its 1790790376 on 2006-07-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Abe Charles Bagniewski most recently updated or revised?

The details related to Abe Charles Bagniewski, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-30.

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