Baird, Benjamin James

Baird, Benjamin James is an individual health care provider with primary practice located at 2460 Nw Stewart Pkwy Ste 100, Roseburg OR 97471-1516. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Baird, Benjamin James can be contacted via phone (541) 229-2663.

Contact Information

Primary practice address
2460 Nw Stewart Pkwy Ste 100 Roseburg OR 97471-1516
Phone: (541) 229-2663
Fax: (541) 229-0213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA172681 Oregon

Profile Details

NPI number 1417252990
LBN Legal business name Baird, Benjamin James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2011
Last updated Mar 10th, 2016 - about 9 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 1417252990 NPPES
Oregon Other PA172681 LICENSE

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