Baumann, Andrea Sue
Baumann, Andrea Sue is an individual health care provider with primary practice located at 384 Sw Upper Terrace Dr Ste 213 , Bend OR 97702-3514. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Baumann, Andrea Sue can be contacted via phone (360) 265-4754.Contact Information
Primary practice address
384 Sw Upper Terrace Dr Ste 213
Bend OR 97702-3514
Phone: (360) 265-4754
Fax: (541) 385-4987
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD-D-000708 | Oregon |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 708 | Oregon |
Profile Details
NPI number | 1801066139 |
---|---|
LBN Legal business name | Baumann, Andrea Sue |
Credentials | Registered Dietitian (RD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2008 |
Last updated | Mar 17th, 2018 - about 7 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 | 1801066139 | NPPES |
Oregon | MEDICAID | 500665841 |
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