Baumer, Kevin Anthony

Baumer, Kevin Anthony is an individual health care provider with primary practice located at 4700 Memorial Dr Ste 340, Belleville IL 62226-5373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Baumer, Kevin Anthony can be contacted via phone (618) 234-9884.

Contact Information

Primary practice address
4700 Memorial Dr Ste 340 Belleville IL 62226-5373
Phone: (618) 234-9884
Fax: (618) 235-9020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036090101 Illinois

Profile Details

NPI number 1891799565
LBN Legal business name Baumer, Kevin Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 5th, 2021 - about 3 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 1891799565 NPPES
Illinois MEDICAID 036090101
Illinois MEDICAID 1891799565

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