Ms. Andrea Lou Baumann
Orthodontists
126 W Bond Ave
West Memphis
, Arkansas 72301-3909
Ms. Andrea Lou Baumann
Orthodontists
126 W Bond Ave
West Memphis
, Arkansas 72301-3909
(951) 533-3563
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Ms. Andrea Lou Baumann
- 460 Tennessee St Apt 301
- Memphis, TN
- Zip : 38103-4484
- Phone : (951) 533-3563
Second Address
- Ms. Andrea Lou Baumann
- 126 W Bond Ave
- West Memphis, AR
- Zip : 72301-3909
- Fax : (870) 735-7853
- Phone : (870) 735-7805
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | DT034816 | CA |
National Provider Identifier
| NPI | 1013049634 |
|---|---|
| Provider Name | Ms. Andrea Lou Baumann |
| First Address | Memphis, TN 38103-4484 |
| Second Address | West Memphis, AR 72301-3909 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2007 |
| Last Update Date | 25/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4142 | ARKANSAS STATE DENTAL LICENSE (01) | AR |
| DT034816 | DENTAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.