Baucom, Matthew Joseph

Baucom, Matthew Joseph is an individual health care provider with primary practice located at 11649 N Port Washington Rd Ste 109, Mequon WI 53092. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Baucom, Matthew Joseph can be contacted via phone (262) 241-8022.

Contact Information

Primary practice address
11649 N Port Washington Rd Ste 109 Mequon WI 53092
Phone: (262) 241-8022
Fax: (262) 241-8047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1851488720
LBN Legal business name Baucom, Matthew Joseph
Credentials RPSGT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - 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.

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