Baibak, Laurence Matthew

Baibak, Laurence Matthew is an individual health care provider with primary practice located at 12621 Eckel Junction Rd Ste 2400 , Perrysburg OH 43551-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Baibak, Laurence Matthew can be contacted via phone (419) 887-7000.

Contact Information

Primary practice address
12621 Eckel Junction Rd Ste 2400 Perrysburg OH 43551-1304
Phone: (419) 887-7000
Fax: (419) 887-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35-059965 Ohio

Profile Details

NPI number 1255303590
LBN Legal business name Baibak, Laurence Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 13th, 2022 - about 2 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 1255303590 NPPES
Ohio MEDICAID 0876922

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