Baldwin, Randy L

Baldwin, Randy L is an individual health care provider with primary practice located at 1 Boone Rd , Bremerton WA 98312-1894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Baldwin, Randy L can be contacted via phone (360) 475-4426.

Contact Information

Primary practice address
1 Boone Rd Bremerton WA 98312-1894
Fax: (360) 475-4344
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01051949A Indiana

Profile Details

NPI number 1093789471
LBN Legal business name Baldwin, Randy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jun 6th, 2008 - about 16 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 1093789471 NPPES
Washington MEDICAID 8460396

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