Baumann, Jon Charles
Baumann, Jon Charles is an individual health care provider with primary practice located at 809 Belfast St , Yankton SD 57078-3324. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Baumann, Jon Charles can be contacted via phone (605) 665-5695.Contact Information
Primary practice address
809 Belfast St
Yankton SD 57078-3324
Phone: (605) 665-5695
Fax: (605) 260-5695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | M621 | South Dakota |
Profile Details
| NPI number | 1013062728 |
|---|---|
| LBN Legal business name | Baumann, Jon Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013062728 | NPPES |
| South Dakota | MEDICAID | 7805010 | |
| South Dakota | MEDICAID | 46046350400 |
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