Baumgartner, Lysle

Baumgartner, Lysle is an individual health care provider with primary practice located at 3400 Kenny Rd , Upper Arlington OH 43221-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as his primary health care specialty. Baumgartner, Lysle can be contacted via phone (614) 457-8158.

Contact Information

Primary practice address
3400 Kenny Rd Upper Arlington OH 43221-1500
Phone: (614) 457-8158
Fax: (614) 457-9155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 35-022954 Ohio

Profile Details

NPI number 1164624508
LBN Legal business name Baumgartner, Lysle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Jul 8th, 2007 - about 18 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 1164624508 NPPES
Ohio MEDICAID 0449385

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