Baker, Chester Riley
Baker, Chester Riley is an individual health care provider with primary practice located at 130 Magnolia Ln , Cornelia GA 30531-2241. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Baker, Chester Riley can be contacted via phone (706) 776-3070.Contact Information
Primary practice address
130 Magnolia Ln
Cornelia GA 30531-2241
Phone: (706) 776-3070
Fax: (706) 776-3788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 146348 | Georgia |
Profile Details
| NPI number | 1396735155 |
|---|---|
| LBN Legal business name | Baker, Chester Riley |
| Credentials | NP RN CS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Sep 9th, 2009 - about 17 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 | 1396735155 | NPPES |
| Georgia | MEDICAID | 035805515A |
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