Baerg, Joanne Elaine
Baerg, Joanne Elaine is an individual health care provider with primary practice located at 201 Cedar St Se Ste 4660 , Albuquerque NM 87106-4924. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Baerg, Joanne Elaine can be contacted via phone (505) 563-6530.Contact Information
Primary practice address
201 Cedar St Se Ste 4660
Albuquerque NM 87106-4924
Phone: (505) 563-6530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A73774 | California |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | A73774 | California |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | NM2021-0493 | New Mexico |
Profile Details
| NPI number | 1356386577 |
|---|---|
| LBN Legal business name | Baerg, Joanne Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jun 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356386577 | NPPES |
| California | MEDICAID | 00A737740 | |
| California | Other | MD2021-0493 |
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