Baccus, Annette H.
Baccus, Annette H. is an individual health care provider with primary practice located at 300 S 8Th St Suite 107E, Murray KY 42071-2400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baccus, Annette H. can be contacted via phone (270) 753-9240.Contact Information
Primary practice address
300 S 8Th St Suite 107E
Murray KY 42071-2400
Phone: (270) 753-9240
Fax: (270) 767-3629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1051957 4041P | Kentucky |
Profile Details
| NPI number | 1255480323 |
|---|---|
| LBN Legal business name | Baccus, Annette H. |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255480323 | NPPES |
| Kentucky | Other | 000000296656 | ANTHEM BCBS |
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