Baker, Jeremy Ronald
Baker, Jeremy Ronald is an individual health care provider with primary practice located at 19 Woodland St Ste 23 , Hartford CT 06105-2368. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Baker, Jeremy Ronald can be contacted via phone (860) 522-2251.Contact Information
Primary practice address
19 Woodland St Ste 23
Hartford CT 06105-2368
Phone: (860) 522-2251
Fax: (860) 493-2552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1295373785 |
|---|---|
| LBN Legal business name | Baker, Jeremy Ronald |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2019 |
| Last updated | May 12th, 2022 - about 4 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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