Baggett, Blayne David

Baggett, Blayne David is an individual health care provider with primary practice located at 305 N Leroy St , Fenton MI 48430-2729. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baggett, Blayne David can be contacted via phone (810) 629-9200.

Contact Information

Primary practice address
305 N Leroy St Fenton MI 48430-2729
Phone: (810) 629-9200
Fax: (810) 629-9653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007628 Michigan

Profile Details

NPI number 1114382637
LBN Legal business name Baggett, Blayne David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2015
Last updated Dec 29th, 2015 - about 10 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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