Baumgartner, Patricia A

Baumgartner, Patricia A is an individual health care provider with primary practice located at 400 Hinckley Blvd Suite 100, Jackson MI 49203-6125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baumgartner, Patricia A can be contacted via phone (517) 784-0588.

Contact Information

Primary practice address
400 Hinckley Blvd Suite 100 Jackson MI 49203-6125
Phone: (517) 784-0588
Fax: (517) 784-3866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704098056 Michigan

Profile Details

NPI number 1053339390
LBN Legal business name Baumgartner, Patricia A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 23rd, 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 1053339390 NPPES
Michigan Other 5008764530 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 3221533 BLUE CROSS BLUE SHIELD

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