Bachmann, Brenda Gayle

Bachmann, Brenda Gayle is an individual health care provider with primary practice located at 640 Industrial Pkwy , Elkhart IN 46516-5414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bachmann, Brenda Gayle can be contacted via phone (574) 522-7203.

Contact Information

Primary practice address
640 Industrial Pkwy Elkhart IN 46516-5414
Phone: (574) 522-7203
Fax: (574) 522-7405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000514A Indiana

Profile Details

NPI number 1750387668
LBN Legal business name Bachmann, Brenda Gayle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 19 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 1750387668 NPPES
Indiana Other 000000329042 BLUE CROSS/BLUE SHIELD
Indiana Other P00134721 BLUE CROSS/BLUE SHIELD

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