Stutts, Baldwin S.
Stutts, Baldwin S. is an individual health care provider with primary practice located at 802 Ainsworth Dr Suite A, Prescott AZ 86301-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stutts, Baldwin S. can be contacted via phone (928) 445-6025.Contact Information
Primary practice address
802 Ainsworth Dr Suite A
Prescott AZ 86301-1623
Phone: (928) 445-6025
Fax: (928) 778-3026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35954 | Arizona |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M-5171 | Idaho |
Profile Details
| NPI number | 1568561025 |
|---|---|
| LBN Legal business name | Stutts, Baldwin S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 17th, 2011 - about 13 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 | 1568561025 | NPPES |
| Arizona | MEDICAID | 263405 |
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