Baum, Andy

Baum, Andy is an individual health care provider with primary practice located at 1550 Iron Point Rd Apt 2423 , Folsom CA 95630-7820. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baum, Andy can be contacted via phone (713) 204-8565.

Contact Information

Primary practice address
1550 Iron Point Rd Apt 2423 Folsom CA 95630-7820
Phone: (713) 204-8565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 815196 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP129075 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95000607 California

Profile Details

NPI number 1275929838
LBN Legal business name Baum, Andy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Jan 4th, 2022 - about 4 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 1275929838 NPPES
Texas MEDICAID 351568602

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