Baeten, Pamela C

Baeten, Pamela C is an individual health care provider with primary practice located at 704 S Webster Ave Ste 500, Green Bay WI 54301-3528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Baeten, Pamela C can be contacted via phone (920) 468-9588.

Contact Information

Primary practice address
704 S Webster Ave Ste 500 Green Bay WI 54301-3528
Phone: (920) 468-9588
Fax: (920) 468-1342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 38912 Wisconsin

Profile Details

NPI number 1932102787
LBN Legal business name Baeten, Pamela C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 7th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932102787 NPPES
Wisconsin MEDICAID 32360200

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