Baldwin, Jonathan E

Baldwin, Jonathan E is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Baldwin, Jonathan E can be contacted via phone (563) 742-2054.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (563) 742-2054
Fax: (563) 742-3505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001737 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 85002801 Illinois

Profile Details

NPI number 1225119167
LBN Legal business name Baldwin, Jonathan E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Apr 19th, 2018 - about 6 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 1225119167 NPPES
Other 98263 BC WELLMARK
Other 32117 BC WELLMARK
Other 98269 BC WELLMARK
Other P00404317 BC WELLMARK

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