Baker, John A

Baker, John A is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 302, Twin Falls ID 83301-5814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Baker, John A can be contacted via phone (208) 814-8600.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 302 Twin Falls ID 83301-5814
Phone: (208) 814-8600
Fax: (208) 814-8942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X M8866 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M8866 Idaho

Profile Details

NPI number 1124061262
LBN Legal business name Baker, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 4th, 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 1124061262 NPPES
Idaho MEDICAID 806703100
Idaho Other P00095566

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