Baker, Jacqueline
Baker, Jacqueline is an individual health care provider with primary practice located at 134 State St , Meriden CT 06450-3293. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Baker, Jacqueline can be contacted via phone (203) 237-2229.Contact Information
Primary practice address
134 State St
Meriden CT 06450-3293
Phone: (203) 237-2229
Fax: (203) 686-1677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 002812 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 002812 | Connecticut |
Profile Details
| NPI number | 1548477433 |
|---|---|
| LBN Legal business name | Baker, Jacqueline |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Jun 21st, 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 | 1548477433 | NPPES |
| Connecticut | MEDICAID | 004235900 | |
| Connecticut | MEDICAID | 004236346 |
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