Baker, Clark D

Baker, Clark D is an individual health care provider with primary practice located at 2805 Dr John Haynes Dr , Pell City AL 35125-1448. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Baker, Clark D can be contacted via phone (205) 814-2104.

Contact Information

Primary practice address
2805 Dr John Haynes Dr Pell City AL 35125-1448
Phone: (205) 814-2104
Fax: (205) 814-2145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 21072 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21072 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21072 Alabama

Profile Details

NPI number 1326034836
LBN Legal business name Baker, Clark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Nov 18th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326034836 NPPES
Alabama Other 051522553 BCBS
Alabama MEDICAID 051522553 BCBS
Alabama Other 051540582 BCBS

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