Baldridge, Earnie

Baldridge, Earnie is an individual health care provider with primary practice located at 555 S Schwartz Ave , Farmington NM 87401-5955. 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. Baldridge, Earnie can be contacted via phone (505) 566-8073.

Contact Information

Primary practice address
555 S Schwartz Ave Farmington NM 87401-5955
Phone: (505) 566-8073
Fax: (505) 324-2259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 87-PA011 New Mexico

Profile Details

NPI number 1881627826
LBN Legal business name Baldridge, Earnie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jun 10th, 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 1881627826 NPPES
New Mexico MEDICAID 000J1295

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