Baldridge, John A

Baldridge, John A is an individual health care provider with primary practice located at 1 Saint Vincent Cir Suite 210, Little Rock AR 72205-5405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Baldridge, John A can be contacted via phone (501) 552-4777.

Contact Information

Primary practice address
1 Saint Vincent Cir Suite 210 Little Rock AR 72205-5405
Phone: (501) 552-4777
Fax: (501) 552-4570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C-4010 Arkansas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X C-4010 Arkansas

Profile Details

NPI number 1881667921
LBN Legal business name Baldridge, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 4th, 2012 - about 12 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 1881667921 NPPES
Arkansas MEDICAID 103990001
Arkansas Other 33-00204

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