Baxter, Jeremey D

Baxter, Jeremey D is an individual health care provider with primary practice located at 6606 Lbj Fwy Suite 200, Dallas TX 75240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Baxter, Jeremey D can be contacted via phone (972) 715-1999.

Contact Information

Primary practice address
6606 Lbj Fwy Suite 200 Dallas TX 75240
Phone: (972) 715-1999
Fax: (972) 233-3666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X

Profile Details

NPI number 1306934351
LBN Legal business name Baxter, Jeremey D
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated May 31st, 2018 - about 6 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 1306934351 NPPES
Georgia Other 728 A A CERTICATE #
Georgia MEDICAID 337610502 A A CERTICATE #

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