Baldwin, Reginald James
Baldwin, Reginald James is an sole proprietor health care provider with primary practice located at 590 Harbor St , Morro Bay CA 93442-1904. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baldwin, Reginald James can be contacted via phone (805) 772-1269.Contact Information
Primary practice address
590 Harbor St
Morro Bay CA 93442-1904
Phone: (805) 772-1269
Fax: (805) 772-2172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5498 | California |
Profile Details
| NPI number | 1093890105 |
|---|---|
| LBN Legal business name | Baldwin, Reginald James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Apr 25th, 2008 - about 18 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 | 1093890105 | NPPES |
| California | MEDICAID | SD0054980 |
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