Baldwin, Zachary Kriete

Baldwin, Zachary Kriete is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 1250 , Jackson MS 39216-4609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Baldwin, Zachary Kriete can be contacted via phone (601) 200-2990.

Contact Information

Primary practice address
971 Lakeland Dr Ste 1250 Jackson MS 39216-4609
Phone: (601) 200-2990
Fax: (601) 200-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A76552 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 20344 Mississippi

Profile Details

NPI number 1487778239
LBN Legal business name Baldwin, Zachary Kriete
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Feb 26th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487778239 NPPES
Mississippi MEDICAID 03053543
Mississippi Other P00641839

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