Baumann-Blackmore, Nicole L

Baumann-Blackmore, Nicole L is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Baumann-Blackmore, Nicole L can be contacted via phone (608) 417-6236.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Phone: (608) 417-6236
Fax: (608) 833-6932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49593-020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1692 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 49593-020 Wisconsin

Profile Details

NPI number 1548227838
LBN Legal business name Baumann-Blackmore, Nicole L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jan 12th, 2021 - 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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