Baetz, Taelor
Baetz, Taelor is an individual health care provider with primary practice located at 415 Fairview Ave Ste 201 , Ponca City OK 74601-1932. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Baetz, Taelor can be contacted via phone (580) 762-9355.Contact Information
Primary practice address
415 Fairview Ave Ste 201
Ponca City OK 74601-1932
Phone: (580) 762-9355
Fax: (580) 762-9358
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5266 | Oklahoma |
Profile Details
NPI number | 1881385656 |
---|---|
LBN Legal business name | Baetz, Taelor |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2023 |
Last updated | Jul 10th, 2024 - about last year |
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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