Pickett Baisden, Tina
Pickett Baisden, Tina is an sole proprietor health care provider with primary practice located at 3990 John R St , Detroit MI 48201-2018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Pickett Baisden, Tina can be contacted via phone (313) 577-5980.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301057574 | Michigan |
Profile Details
| NPI number | 1396753810 |
|---|---|
| LBN Legal business name | Pickett Baisden, Tina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Dec 15th, 2023 - about 3 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 | 1396753810 | NPPES |
| Michigan | Other | 070015591 | RAILROAD MEDICARE |
| Michigan | Other | 0706359621 | RAILROAD MEDICARE |
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