Baker, Clifford Eugene
Baker, Clifford Eugene is an individual health care provider with primary practice located at 11240 Highway 49 Ste 300, Gulfport MS 39503-4151. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Baker, Clifford Eugene can be contacted via phone (228) 284-4342.Contact Information
Primary practice address
11240 Highway 49 Ste 300
Gulfport MS 39503-4151
Phone: (228) 284-4342
Fax: (228) 284-4345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R690392 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
| NPI number | 1104928605 |
|---|---|
| LBN Legal business name | Baker, Clifford Eugene |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2006 |
| Last updated | Oct 26th, 2015 - about 10 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 | 1104928605 | NPPES |
| Mississippi | MEDICAID | 0116632 |
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