Baker, Brian L

Baker, Brian L is an individual health care provider with primary practice located at 146 Williams Dr , Spencer WV 25276-1826. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baker, Brian L can be contacted via phone (304) 927-1495.

Contact Information

Primary practice address
146 Williams Dr Spencer WV 25276-1826
Phone: (304) 927-1495
Fax: (304) 927-5813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 356 West Virginia

Profile Details

NPI number 1528060571
LBN Legal business name Baker, Brian L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Aug 17th, 2012 - about 14 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 1528060571 NPPES
West Virginia MEDICAID 3810000867

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