Baxter, Zachery Chad

Baxter, Zachery Chad is an individual health care provider with primary practice located at 1260 15Th St Ste 1200 , Santa Monica CA 90404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Baxter, Zachery Chad can be contacted via phone (310) 451-8751.

Contact Information

Primary practice address
1260 15Th St Ste 1200 Santa Monica CA 90404
Phone: (310) 451-8751
Fax: (310) 394-5302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X A103187 California
Allopathic & Osteopathic Physicians / Urology 208800000X A103187 California

Profile Details

NPI number 1538371679
LBN Legal business name Baxter, Zachery Chad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Nov 26th, 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 1538371679 NPPES
California MEDICAID 0A1031870

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