Baker, Jack Ross
Baker, Jack Ross is an sole proprietor health care provider with primary practice located at 4590 Dressler Road Nw , Canton OH 44718-2546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Baker, Jack Ross can be contacted via phone (330) 492-5555.Contact Information
Primary practice address
4590 Dressler Road Nw
Canton OH 44718-2546
Phone: (330) 492-5555
Fax: (330) 492-7808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 34003239B | Ohio |
Profile Details
| NPI number | 1982712899 |
|---|---|
| LBN Legal business name | Baker, Jack Ross |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Apr 9th, 2010 - about 16 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 | 1982712899 | NPPES |
| Ohio | MEDICAID | 0672884 |
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