Baker, Jay P

Baker, Jay P is an individual health care provider with primary practice located at 1540 E Evergreen St , Springfield MO 65803-4300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Baker, Jay P can be contacted via phone (417) 823-2900.

Contact Information

Primary practice address
1540 E Evergreen St Springfield MO 65803-4300
Phone: (417) 823-2900
Fax: (417) 886-2774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36747 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 36747 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 36747 Missouri

Profile Details

NPI number 1972509974
LBN Legal business name Baker, Jay P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 26th, 2024 - about last year

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 1972509974 NPPES
Missouri MEDICAID 243677937
Missouri Other P00189701

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