Baumberger, Joshua A

Baumberger, Joshua A is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62781-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baumberger, Joshua A can be contacted via phone (217) 788-3754.

Contact Information

Primary practice address
701 N 1St St Springfield IL 62781-0001
Phone: (217) 788-3754
Fax: (217) 788-7071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209005509 Illinois

Profile Details

NPI number 1194791996
LBN Legal business name Baumberger, Joshua A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Apr 21st, 2014 - about 10 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 1194791996 NPPES
Illinois Other 072602 CCNA
Illinois Other 041320156 CCNA

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