Baynes, Nathan T

Baynes, Nathan T is an individual health care provider with primary practice located at 2605 E Creeks Edge Dr , Bloomington IN 47401-8368. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baynes, Nathan T can be contacted via phone (812) 355-2300.

Contact Information

Primary practice address
2605 E Creeks Edge Dr Bloomington IN 47401-8368
Phone: (812) 355-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1000593A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000593A Indiana

Profile Details

NPI number 1801832498
LBN Legal business name Baynes, Nathan T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Sep 2nd, 2022 - about 2 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 1801832498 NPPES
Indiana MEDICAID 300009627

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