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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGNES C BACALA, M.D.

Active

AGNES C BACALA, M.D. is a Family Medicine healthcare provider located in LOOGOOTEE, Indiana. NPI 1205891744 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LOOGOOTEE, IN

Registration Details

NPI Number
1205891744
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2006 (20.176852192609 yrs)
Last Updated
Dec 15, 2020
Licenses
32413 (KY)
01043434A (IN)

Practice Information

Address
12546 E US HIGHWAY 50
LOOGOOTEE, IN, 475535220
Browse IN providers · Browse ZIP 47553
Phone
8122955095
Fax
8122959403
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in LOOGOOTEE, IN

Name Credential NPI
JAMES P POIRIER M.D. 1770670440
MRS. PRIYA SUSAN ALEX MD 1174185896
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.