Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 3997 | AR |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 874 | KY |
N | 204E00000X | Oral & Maxillofacial Surgeon | 44995 | KY |
N | 204E00000X | Oral & Maxillofacial Surgeon | E8873 | AR |
NPI | 1427262161 |
---|---|
Provider Name | Dr. Aaron Baldwin |
First Address | Hot Springs, AR 71913-6312 |
Second Address | Hot Springs, AR 71913-6312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 16/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100004530 | (05) | KY |