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THOMAS MICHAEL BAGLIN D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1164533428
Individual Registrant: THOMAS MICHAEL BAGLIN D.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
204 E BEACH ST WATSONVILLE, CA 95076-4809 US
Tel: 831-728-0222 Fax: 831-707-2777
Tel: 831-728-0222 Fax: 831-707-2777
Contact information for business:
PO BOX 1870 WATSONVILLE, CA 95077-1870 US
Tel: 831-728-8266 Fax: 831-707-2777
Tel: 831-728-8266 Fax: 831-707-2777
Registration Information:
NPI: 1164533428
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | 016252 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
