Baumgardt, Marc Alan
Baumgardt, Marc Alan is an sole proprietor health care provider with primary practice located at 8646 Guion Rd , Indianapolis IN 46268-3011. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Baumgardt, Marc Alan can be contacted via phone (317) 334-7331.Contact Information
Primary practice address
8646 Guion Rd
Indianapolis IN 46268-3011
Phone: (317) 334-7331
Fax: (317) 334-7336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-17-25784 | Indiana |
Profile Details
| NPI number | 1356871156 |
|---|---|
| LBN Legal business name | Baumgardt, Marc Alan |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Jun 4th, 2019 - about 6 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 | 1356871156 | NPPES |
| Indiana | MEDICAID | 300011456 |
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