Baumann, Andrea Lou

Baumann, Andrea Lou is an sole proprietor health care provider with primary practice located at 126 W Bond Ave , West Memphis AR 72301-3909. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Baumann, Andrea Lou can be contacted via phone (870) 735-7805.

Contact Information

Primary practice address
126 W Bond Ave West Memphis AR 72301-3909
Phone: (870) 735-7805
Fax: (870) 735-7853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DT034816 California

Profile Details

NPI number 1013049634
LBN Legal business name Baumann, Andrea Lou
Credentials DDS MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Nov 25th, 2019 - about 6 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 1013049634 NPPES
Arkansas Other 4142 ARKANSAS STATE DENTAL LICENSE
Arkansas Other DT034816 ARKANSAS STATE DENTAL LICENSE

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