Baumgartner, Tom L

Baumgartner, Tom L is an individual health care provider with primary practice located at 4450 31St Ave S Ste 104 , Fargo ND 58104-4557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Baumgartner, Tom L can be contacted via phone (701) 451-9417.

Contact Information

Primary practice address
4450 31St Ave S Ste 104 Fargo ND 58104-4557
Phone: (701) 451-9417
Fax: (701) 298-0066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5808 Minnesota
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 1022 North Dakota

Profile Details

NPI number 1215908876
LBN Legal business name Baumgartner, Tom L
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 29th, 2019 - about 5 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 1215908876 NPPES
North Dakota MEDICAID 51317

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