| Joshua E Baron | |
|
2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 | |
| (616) 920-6445 | |
| Not Available |
| Full Name | Joshua E Baron |
|---|---|
| Speciality | Social Worker |
| Location | 2025 E Beltline Ave Se Ste 102, Grand Rapids, Michigan |
| Authorized Official Name and Position | Joshua Edward Baron (SOLE PROPRIETOR) |
| Authorized Official Contact | 6169206445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua E Baron 2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 Ph: (616) 920-6445 | Joshua E Baron 2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 Ph: (616) 920-6445 |
| NPI Number | 1518561414 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Medicare PECOS PAC ID | 0244643195 |
|---|---|
| Medicare Enrollment ID | O20210113002465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518561414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joshua Edward Baron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164874210 PECOS PAC ID: 1153734009 Enrollment ID: I20210113002596 |
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