Baumgaertner, James C

Baumgaertner, James C is an individual health care provider with primary practice located at 3111 Gundersen Dr , Onalaska WI 54650-8447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Baumgaertner, James C can be contacted via phone (608) 775-8630.

Contact Information

Primary practice address
3111 Gundersen Dr Onalaska WI 54650-8447
Phone: (608) 775-8630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 22961 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 22190 Iowa

Profile Details

NPI number 1942204839
LBN Legal business name Baumgaertner, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Feb 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942204839 NPPES
Wisconsin MEDICAID 30326400

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