Baeverstad, Kathleen B

Baeverstad, Kathleen B is an individual health care provider with primary practice located at 353 N Oak St , Columbia City IN 46725-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Baeverstad, Kathleen B can be contacted via phone (260) 248-9000.

Contact Information

Primary practice address
353 N Oak St Columbia City IN 46725-1623
Phone: (260) 248-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01032868A Indiana

Profile Details

NPI number 1821083221
LBN Legal business name Baeverstad, Kathleen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 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 1821083221 NPPES
Indiana Other 000000082521 ANTHEM
Indiana Other 000000008456 ANTHEM
Indiana MEDICAID 0801832 ANTHEM

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