Baek, Paul N

Baek, Paul N is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Baek, Paul N can be contacted via phone (920) 288-8350.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Fax: (920) 288-8355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 30352 Wisconsin

Profile Details

NPI number 1801831292
LBN Legal business name Baek, Paul N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Apr 9th, 2024 - 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 1801831292 NPPES
Michigan Other 1402100761 BCBS
Michigan MEDICAID 104386046 BCBS
Michigan MEDICAID 104807433 BCBS
Michigan Other P00032933 BCBS
Michigan Other 140005936 BCBS
Michigan MEDICAID 104584893 BCBS
Michigan MEDICAID 32381600 BCBS
Michigan MEDICAID 104445138 BCBS

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