Abe Charles Bagniewski in Olympia - Podiatrist
Abe Charles Bagniewski - NPI 1790790376
Abe Charles Bagniewski is a Podiatrist in Olympia, Washington. Abe Charles Bagniewski practices all healthcare services and medical treatments related to Podiatrist. 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 | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO00000775 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204603 | WA | STATE L&I | |
| 1001166 | WA | -- | |
| 8940526 | WA | CRIME VICTIMS |
Post Comment/ Review Below
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 Podiatrist, and it falls under the taxonomy code 213E00000X, 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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