Baggett, Cheryl Alicia

Baggett, Cheryl Alicia is an individual health care provider with primary practice located at 2 Good Samaritan Way Suite 420, Mount Vernon IL 62864-2408. 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. Baggett, Cheryl Alicia can be contacted via phone (618) 899-4000.

Contact Information

Primary practice address
2 Good Samaritan Way Suite 420 Mount Vernon IL 62864-2408
Phone: (618) 899-4000
Fax: (618) 899-4790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 85002319 Illinois

Profile Details

NPI number 1699855767
LBN Legal business name Baggett, Cheryl Alicia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Dec 1st, 2020 - about 5 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 1699855767 NPPES
Illinois Other P00365758 RR NUMBER
Illinois Other 85002319 RR NUMBER
Illinois Other CE9335 RR NUMBER

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