Basic Information
| Provider Information | |||||||||
| NPI: | 1740554500 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAJGIER | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | IRENE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1234 SE MAGNOLIA EXT | ||||||||
| Address2: | UNIT 1 | ||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344713778 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3524011218 | ||||||||
| FaxNumber: | 3524011017 | ||||||||
| Practice Location | |||||||||
| Address1: | 1234 SE MAGNOLIA EXT | ||||||||
| Address2: | UNIT 1 | ||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344713778 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3524011218 | ||||||||
| FaxNumber: | 3524011017 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2012 | ||||||||
| LastUpdateDate: | 07/18/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | MA055440 | PA | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 363A00000X | PA9106605 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.