Baumgartner, Karl M.

Baumgartner, Karl M. is an individual health care provider with primary practice located at 5131 E Southern Ave , Mesa AZ 85206-2799. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Baumgartner, Karl M. can be contacted via phone (480) 833-5437.

Contact Information

Primary practice address
5131 E Southern Ave Mesa AZ 85206-2799
Fax: (480) 833-9349
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22020 Arizona
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 22020 Arizona

Profile Details

NPI number 1174522890
LBN Legal business name Baumgartner, Karl M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jan 15th, 2018 - about 7 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 1174522890 NPPES
Arizona MEDICAID 166654

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