Baker, Gene Benjamin
Baker, Gene Benjamin is an individual health care provider with primary practice located at 2137 Lakeside Dr Ste 100, Lynchburg VA 24501-6806. 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, Gene Benjamin can be contacted via phone (434) 385-4184.Contact Information
Primary practice address
2137 Lakeside Dr Ste 100
Lynchburg VA 24501-6806
Phone: (434) 385-4184
Fax: (434) 385-8616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110002119 | Virginia |
Profile Details
| NPI number | 1033192745 |
|---|---|
| LBN Legal business name | Baker, Gene Benjamin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Aug 14th, 2013 - about 13 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 | 1033192745 | NPPES |
| Other | 008344C68 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | |
| MEDICAID | 010179301 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | |
| Other | 1528155892 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | |
| Other | CA2436 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | |
| Other | P00370488 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | |
| MEDICAID | 1528155892 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | |
| Other | 1972680049 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | |
| Other | CO3658 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | |
| Other | C08183 | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 |
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