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
Fax: (605) 260-5695
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013062728 NPPES
South Dakota MEDICAID 7805010
South Dakota MEDICAID 46046350400

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