Baron, Keesag A.
Baron, Keesag A. is an sole proprietor health care provider with primary practice located at 1242 E. Independence , Springfield MO 65804-4284. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Baron, Keesag A. can be contacted via phone (417) 883-5500.Contact Information
Primary practice address
1242 E. Independence
Springfield MO 65804-4284
Phone: (417) 883-5500
Fax: (417) 883-5577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 107583 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 107583 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 107583 | Missouri |
Profile Details
| NPI number | 1891736930 |
|---|---|
| LBN Legal business name | Baron, Keesag A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Aug 12th, 2013 - about 11 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 | 1891736930 | NPPES |
| Missouri | Other | 25634 | BC |
| Missouri | MEDICAID | 507022101 | BC |
| Missouri | MEDICAID | 208048512 | BC |
| Missouri | Other | 909395531 | BC |
| Missouri | Other | 25634 | BC |
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