Baker, Lyda A

Baker, Lyda A is an sole proprietor health care provider with primary practice located at 951 W Seldon Rd Apt 3 , Wasilla AK 99654-3464. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Baker, Lyda A can be contacted via phone (907) 884-6604.

Contact Information

Primary practice address
951 W Seldon Rd Apt 3 Wasilla AK 99654-3464
Phone: (907) 884-6604
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2002 Alaska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2002 Alaska

Profile Details

NPI number 1609903186
LBN Legal business name Baker, Lyda A
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Dec 28th, 2012 - about 14 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 1609903186 NPPES
New Mexico MEDICAID 00071986
New Mexico Other 2002

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