Baughman, Jenae C
Baughman, Jenae C is an individual health care provider with primary practice located at 2307 S Gordon Cooper Dr , Shawnee OK 74801-9007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baughman, Jenae C can be contacted via phone (405) 273-5236.Contact Information
Primary practice address
2307 S Gordon Cooper Dr
Shawnee OK 74801-9007
Phone: (405) 273-5236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R0064378 | Oklahoma |
Profile Details
| NPI number | 1639105000 |
|---|---|
| LBN Legal business name | Baughman, Jenae C |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jun 17th, 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 | 1639105000 | NPPES |
| Oklahoma | MEDICAID | 100700540A | |
| Oklahoma | MEDICAID | 1764378 |
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