Baker, Jayson Randall
Baker, Jayson Randall is an sole proprietor health care provider with primary practice located at 2220 Westridge Ave W Apt K103 , Tacoma WA 98466-1858. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Baker, Jayson Randall can be contacted via phone (949) 307-5620.Contact Information
Primary practice address
2220 Westridge Ave W Apt K103
Tacoma WA 98466-1858
Phone: (949) 307-5620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1972149326 |
|---|---|
| LBN Legal business name | Baker, Jayson Randall |
| Credentials | MS, ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2019 |
| Last updated | Jul 10th, 2023 - about 2 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 | 1972149326 | NPPES |
| California | Other | 2000037901 | ATC |
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