Provider Demographics
NPI:1447083530
Name:PAGAL, ANNA CHRISTINE (DIRECT ENTRY MIDWIFE)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:CHRISTINE
Last Name:PAGAL
Suffix:
Gender:F
Credentials:DIRECT ENTRY MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15745 GORRILL ROAD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402
Mailing Address - Country:US
Mailing Address - Phone:419-306-8335
Mailing Address - Fax:
Practice Address - Street 1:15745 GORRILL ROAD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402
Practice Address - Country:US
Practice Address - Phone:419-306-8335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay