Baka, John Vincent

Baka, John Vincent is an sole proprietor health care provider with primary practice located at 1220 Military Rd , Benton AR 72015-2908. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Baka, John Vincent can be contacted via phone (501) 778-1000.

Contact Information

Primary practice address
1220 Military Rd Benton AR 72015-2908
Fax: (501) 778-1010
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E0792 Arkansas

Profile Details

NPI number 1083633366
LBN Legal business name Baka, John Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Sep 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083633366 NPPES
Arkansas Other 5K157 BCBS
Arkansas MEDICAID 129634001 BCBS

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