Baldacci, Anthony Eugene
Baldacci, Anthony Eugene is an individual health care provider with primary practice located at 1836 Meade Street , North Bend OR 97459. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Baldacci, Anthony Eugene can be contacted via phone (541) 808-0430.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 648845 | California |
Nursing Service Providers / Registered Nurse | 163W00000X | 200742895RN | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 200850023NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 18025 | California |
Profile Details
NPI number | 1902080013 |
---|---|
LBN Legal business name | Baldacci, Anthony Eugene |
Credentials | M.S.N., ANP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 26th, 2007 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1902080013 | NPPES |
Other | R120353 | PTAN | |
MEDICAID | 213342 | PTAN | |
Other | 1619915113 | PTAN |
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