Bax, John C
Bax, John C is an sole proprietor health care provider with primary practice located at N2227 Butternut Rd , Waupaca WI 54981-9741. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bax, John C can be contacted via phone (920) 540-5112.Contact Information
Primary practice address
N2227 Butternut Rd
Waupaca WI 54981-9741
Phone: (920) 540-5112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 28824 | Wisconsin |
Profile Details
| NPI number | 1669438982 |
|---|---|
| LBN Legal business name | Bax, John C |
| Credentials | M.D., PH D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Sep 8th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669438982 | NPPES |
| Wisconsin | MEDICAID | 30839700 |
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