Baisac, Josephine R
Baisac, Josephine R is an individual health care provider with primary practice located at 608 E Orangeburg Ave , Modesto CA 95350-5513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Baisac, Josephine R can be contacted via phone (209) 529-2645.Contact Information
Primary practice address
608 E Orangeburg Ave
Modesto CA 95350-5513
Phone: (209) 529-2645
Fax: (209) 529-3024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | C51148 | California |
Profile Details
| NPI number | 1548223480 |
|---|---|
| LBN Legal business name | Baisac, Josephine R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Feb 4th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548223480 | NPPES |
| California | MEDICAID | GR0099870 | |
| California | MEDICAID | 00C511480 |
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