Baxley, Dennis Alvin

Baxley, Dennis Alvin is an individual health care provider with primary practice located at 1000 E 1St St Ste 400, Duluth MN 55805-2297. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Baxley, Dennis Alvin can be contacted via phone (218) 722-5513.

Contact Information

Primary practice address
1000 E 1St St Ste 400 Duluth MN 55805-2297
Phone: (218) 722-5513
Fax: (218) 722-6515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 8897 Minnesota

Profile Details

NPI number 1720084593
LBN Legal business name Baxley, Dennis Alvin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1720084593 NPPES
Minnesota Other 98527100845 PREFERREDONE
Minnesota Other 73A55BA PREFERREDONE

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