Baumann, Michael William

Baumann, Michael William is an individual health care provider with primary practice located at 112 N Akers St Suite A, Visalia CA 93291-5121. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baumann, Michael William can be contacted via phone (559) 733-4372.

Contact Information

Primary practice address
112 N Akers St Suite A Visalia CA 93291-5121
Phone: (559) 733-4372
Fax: (559) 733-1758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 8061 California

Profile Details

NPI number 1417953498
LBN Legal business name Baumann, Michael William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 9th, 2007 - about 19 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 1417953498 NPPES
California Other OPT 8061 CA LICENSE NUMBER
California MEDICAID SD0080610 CA LICENSE NUMBER
California Other SD0080610 CA LICENSE NUMBER
California MEDICAID GSD005170 CA LICENSE NUMBER

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