Baumgardner, Michael

Baumgardner, Michael is an individual health care provider with primary practice located at 6847 N Chestnut St , Ravenna OH 44266-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Baumgardner, Michael can be contacted via phone (330) 297-0811.

Contact Information

Primary practice address
6847 N Chestnut St Ravenna OH 44266-3929
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 34-005587 Ohio

Profile Details

NPI number 1003827981
LBN Legal business name Baumgardner, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1003827981 NPPES
Ohio Other 000000244880 ANTHEM PROVIDER NUMBER

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