Bakland, Lars Michael

Bakland, Lars Michael is an individual health care provider with primary practice located at 1035 Red Bud Rd Ne , Calhoun GA 30701-6008. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bakland, Lars Michael can be contacted via phone (706) 879-4776.

Contact Information

Primary practice address
1035 Red Bud Rd Ne Calhoun GA 30701-6008
Phone: (706) 879-4776
Fax: (706) 879-5841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN158935 Georgia

Profile Details

NPI number 1538198460
LBN Legal business name Bakland, Lars Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Dec 20th, 2018 - about 7 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 1538198460 NPPES
Georgia MEDICAID 000956568I
Georgia MEDICAID 000956568H

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