Baker, Jeffery Walter

Baker, Jeffery Walter is an individual health care provider with primary practice located at 4630 River Rd N Suite A, Keizer OR 97303-4648. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Baker, Jeffery Walter can be contacted via phone (503) 304-2225.

Contact Information

Primary practice address
4630 River Rd N Suite A Keizer OR 97303-4648
Fax: (503) 304-2226
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 272556 Oregon

Profile Details

NPI number 1497811145
LBN Legal business name Baker, Jeffery Walter
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jun 12th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497811145 NPPES
Oregon Other 68-0534396 FEDERAL TAX ID

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