Baldwin, Jason Franklin
Baldwin, Jason Franklin is an sole proprietor health care provider with primary practice located at 4850 Encore Blvd , Mt Pleasant MI 48858-6013. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baldwin, Jason Franklin can be contacted via phone (989) 772-1704.Contact Information
Primary practice address
4850 Encore Blvd
Mt Pleasant MI 48858-6013
Phone: (989) 772-1704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004373 | Michigan |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1510 | South Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003718 | Indiana |
Profile Details
| NPI number | 1912928516 |
|---|---|
| LBN Legal business name | Baldwin, Jason Franklin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Dec 1st, 2014 - about 12 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 | 1912928516 | NPPES |
| Indiana | MEDICAID | 201066910 |
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