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Contact Information

THEBE BAGWASI
2100 COLLIER CORPORATE PKWY
SAINT CHARLES, MO63303-6708
 Phone: 636-410-8285
 Fax: 636-410-8397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for THEBE BAGWASI · (Male)

NPI # 1124037320
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2006
Last updated 06/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2004003244
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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