Baucom, Matthew Joseph
Baucom, Matthew Joseph is an individual health care provider with primary practice located at 11649 N Port Washington Rd Ste 109, Mequon WI 53092. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Baucom, Matthew Joseph can be contacted via phone (262) 241-8022.Contact Information
Primary practice address
11649 N Port Washington Rd Ste 109
Mequon WI 53092
Phone: (262) 241-8022
Fax: (262) 241-8047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1851488720 |
|---|---|
| LBN Legal business name | Baucom, Matthew Joseph |
| Credentials | RPSGT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| 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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