Provider Demographics
NPI:1306577945
Name:BAUM, MARGE
Entity type:Individual
Prefix:
First Name:MARGE
Middle Name:
Last Name:BAUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6080 BROOKESTONE VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9399
Mailing Address - Country:US
Mailing Address - Phone:419-340-0996
Mailing Address - Fax:
Practice Address - Street 1:6080 BROOKESTONE VILLAGE LN
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9399
Practice Address - Country:US
Practice Address - Phone:419-340-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker