Baldwin, Gerald

Baldwin, Gerald is an individual health care provider with primary practice located at 7700 E Florentine Rd , Prescott Valley AZ 86314-2245. 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. Baldwin, Gerald can be contacted via phone (928) 442-8710.

Contact Information

Primary practice address
7700 E Florentine Rd Prescott Valley AZ 86314-2245
Phone: (928) 442-8710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60507644 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7033 Arizona

Profile Details

NPI number 1902206071
LBN Legal business name Baldwin, Gerald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2014
Last updated Feb 5th, 2020 - about 4 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 1902206071 NPPES
Arizona MEDICAID 376503

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