Baumstark, Laurel L

Baumstark, Laurel L is an individual health care provider with primary practice located at 211 W 2Nd St , Hermann MO 65041-1047. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Baumstark, Laurel L can be contacted via phone (573) 330-3007.

Contact Information

Primary practice address
211 W 2Nd St Hermann MO 65041-1047
Phone: (573) 330-3007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 95757 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD100863 Missouri

Profile Details

NPI number 1184749319
LBN Legal business name Baumstark, Laurel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Dec 19th, 2012 - about 13 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 1184749319 NPPES
Other P00473866 RAILROAD MEDICARE
MEDICAID 208075036 RAILROAD MEDICARE

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