Baresic, Deborah Ann

Baresic, Deborah Ann is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Ste 301, Fort Wayne IN 46804-4159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Baresic, Deborah Ann can be contacted via phone (260) 432-6250.

Contact Information

Primary practice address
7910 W Jefferson Blvd Ste 301 Fort Wayne IN 46804-4159
Phone: (260) 432-6250
Fax: (260) 432-6077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 71000624A Indiana

Profile Details

NPI number 1336351089
LBN Legal business name Baresic, Deborah Ann
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1336351089 NPPES
Indiana Other 71000624A NURSE PRACTITIONER LICENS

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