Baker, Amanda B

Baker, Amanda B is an individual health care provider with primary practice located at 817 N Charlotte St , Dickson TN 37055-1008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Baker, Amanda B can be contacted via phone (615) 740-5900.

Contact Information

Primary practice address
817 N Charlotte St Dickson TN 37055-1008
Phone: (615) 740-5900
Fax: (615) 446-2386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1455 Tennessee

Profile Details

NPI number 1205955424
LBN Legal business name Baker, Amanda B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Dec 2nd, 2015 - about 11 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 1205955424 NPPES
Tennessee MEDICAID 1514064

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