Baker, Bret Alan
Baker, Bret Alan is an individual health care provider with primary practice located at 4222 Wendover Ave Suite 600, Odessa TX 79762-5945. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Baker, Bret Alan can be contacted via phone (432) 552-5656.Contact Information
Primary practice address
4222 Wendover Ave Suite 600
Odessa TX 79762-5945
Phone: (432) 552-5656
Fax: (432) 552-0992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA03994 | Texas |
Profile Details
| NPI number | 1912909789 |
|---|---|
| LBN Legal business name | Baker, Bret Alan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912909789 | NPPES |
| Texas | Other | PA03994 | TX LICENSE NUMBER |
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