Baisch, Tim J.

Baisch, Tim J. is an individual health care provider with primary practice located at 77 Hospital Ave Suite 300, North Adams MA 01247-2550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Baisch, Tim J. can be contacted via phone (413) 664-5999.

Contact Information

Primary practice address
77 Hospital Ave Suite 300 North Adams MA 01247-2550
Phone: (413) 664-5999
Fax: (413) 663-7257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 75783 Massachusetts

Profile Details

NPI number 1073502910
LBN Legal business name Baisch, Tim J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jan 11th, 2010 - about 16 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 1073502910 NPPES
Vermont MEDICAID 1004139
Vermont MEDICAID 3095797

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