Baumgardner, Meaghan E

Baumgardner, Meaghan E is an individual health care provider with primary practice located at 4500 Memorial Dr , Belleville IL 62226-5360. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Baumgardner, Meaghan E can be contacted via phone (618) 257-6220.

Contact Information

Primary practice address
4500 Memorial Dr Belleville IL 62226-5360
Phone: (618) 257-6220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3014128 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 3014128 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209026022 Illinois

Profile Details

NPI number 1760020531
LBN Legal business name Baumgardner, Meaghan E
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2019
Last updated Nov 30th, 2022 - about 2 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 1760020531 NPPES
Indiana MEDICAID 300048348
Indiana Other K373410
Indiana Other 3014128
Indiana MEDICAID 7100728040

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