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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1902206071 | NPPES |
| Arizona | MEDICAID | 376503 |
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