Baker, Keith Andrew
Baker, Keith Andrew is an individual health care provider with primary practice located at 559 Vincent St 21 Mdos/Sgof -Fam Hlth, Peterson Afb CO 80914-1540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baker, Keith Andrew can be contacted via phone (719) 556-2273.Contact Information
Primary practice address
559 Vincent St 21 Mdos/Sgof -Fam Hlth
Peterson Afb CO 80914-1540
Phone: (719) 556-2273
Fax: (719) 556-1226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26315 | Colorado |
Profile Details
| NPI number | 1891797080 |
|---|---|
| LBN Legal business name | Baker, Keith Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891797080 | NPPES |
| Colorado | MEDICAID | 01263151 |
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