Baumberger, David W
Baumberger, David W is an sole proprietor health care provider with primary practice located at 304 W Hay St Ste 312, Decatur IL 62526-6328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Baumberger, David W can be contacted via phone (217) 876-5600.Contact Information
Primary practice address
304 W Hay St Ste 312
Decatur IL 62526-6328
Phone: (217) 876-5600
Fax: (217) 876-5664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036068671 | Illinois |
Profile Details
| NPI number | 1043277064 |
|---|---|
| LBN Legal business name | Baumberger, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Aug 20th, 2014 - 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 | 1043277064 | NPPES |
| Illinois | MEDICAID | 036068671 |
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