Baker, Marcus T

Baker, Marcus T is an sole proprietor health care provider with primary practice located at 3125 Matlock Rd Ste 100, Arlington TX 76015-2920. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is his primary health care specialty. Baker, Marcus T can be contacted via phone (682) 323-5921.

Contact Information

Primary practice address
3125 Matlock Rd Ste 100 Arlington TX 76015-2920
Phone: (682) 323-5921
Fax: (682) 323-5974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X Mississippi
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 335E00000X Mississippi
Suppliers / Prosthetic/Orthotic Supplier 335E00000X PRO0000000069 Tennessee
Suppliers / Prosthetic/Orthotic Supplier 335E00000X ORT0000000093 Tennessee
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 1829 Texas

Profile Details

NPI number 1316008204
LBN Legal business name Baker, Marcus T
Credentials CPO/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Apr 21st, 2017 - about 9 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 1316008204 NPPES
Mississippi MEDICAID 00376397
Mississippi MEDICAID 162145716
Mississippi MEDICAID 1455030

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