Baldridge, Earnie
Baldridge, Earnie is an individual health care provider with primary practice located at 555 S Schwartz Ave , Farmington NM 87401-5955. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baldridge, Earnie can be contacted via phone (505) 566-8073.Contact Information
Primary practice address
555 S Schwartz Ave
Farmington NM 87401-5955
Phone: (505) 566-8073
Fax: (505) 324-2259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 87-PA011 | New Mexico |
Profile Details
| NPI number | 1881627826 |
|---|---|
| LBN Legal business name | Baldridge, Earnie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jun 10th, 2024 - 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 | 1881627826 | NPPES |
| New Mexico | MEDICAID | 000J1295 |
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