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Contact Information

SANDRA BAGWELL, MD
22 BRAMHALL ST
PORTLAND, ME04102
 Phone: 207-662-2179
 Fax: 207-662-6326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SANDRA BAGWELL · (Female)

NPI # 1659586048
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2007
Last updated 04/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 012416
  • ME Medicaid 284390099
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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