Provider Demographics
NPI:1518000124
Name:BAARSCH, AMY LYNN (BC-HIS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:BAARSCH
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 1ST DR NW
Mailing Address - Street 2:DOWNSTAIRS OFFICE
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-3003
Mailing Address - Country:US
Mailing Address - Phone:507-433-6214
Mailing Address - Fax:775-703-0475
Practice Address - Street 1:608 1ST DR NW
Practice Address - Street 2:DOWNSTAIRS OFFICE
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-3003
Practice Address - Country:US
Practice Address - Phone:507-433-6214
Practice Address - Fax:775-703-0475
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2347237700000X
IA00801237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN755A7HEOtherBLUE CROSS BLUE SHIELD MN