Baksinski, Adrienne
Baksinski, Adrienne is an individual health care provider with primary practice located at 3283 Willowcreek Rd , Portage IN 46368-5054. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Baksinski, Adrienne can be contacted via phone (219) 764-8439.Contact Information
Primary practice address
3283 Willowcreek Rd
Portage IN 46368-5054
Phone: (219) 764-8439
Fax: (249) 764-8463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-093300 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02003414A | Indiana |
Profile Details
| NPI number | 1033272323 |
|---|---|
| LBN Legal business name | Baksinski, Adrienne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Feb 17th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033272323 | NPPES |
| Indiana | MEDICAID | 300043336 | |
| Indiana | Other | 471400632 |
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