Baughman, Ethan

Baughman, Ethan is an individual health care provider with primary practice located at 32144 Agoura Rd Ste 220 , Westlake Village CA 91361-4057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Baughman, Ethan can be contacted via phone (805) 409-7537.

Contact Information

Primary practice address
32144 Agoura Rd Ste 220 Westlake Village CA 91361-4057
Phone: (805) 409-7537
Fax: (310) 363-7610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2013020089 Missouri
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A158793 California

Profile Details

NPI number 1619316783
LBN Legal business name Baughman, Ethan
Credentials M.D. PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2013
Last updated Jun 17th, 2020 - about 4 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 1619316783 NPPES
Missouri MEDICAID 200062362

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