Baker, Amanda Marie

Baker, Amanda Marie is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Baker, Amanda Marie can be contacted via phone (919) 784-3034.

Contact Information

Primary practice address
4420 Lake Boone Trl Raleigh NC 27607-7505
Phone: (919) 784-3034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 200401209 North Carolina

Profile Details

NPI number 1346454881
LBN Legal business name Baker, Amanda Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated May 24th, 2023 - about 3 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 1346454881 NPPES
Virginia MEDICAID 1346454881
Virginia MEDICAID Q0120E
Virginia MEDICAID 3810009477
Virginia Other 147CE
Virginia Other 201079
Virginia MEDICAID 5906909
Virginia Other 9905110
Virginia Other 810618

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