Baker, Mark Allen

Baker, Mark Allen is an individual health care provider with primary practice located at 1335 W Cypress Ave Suite 100, San Dimas CA 91773-3516. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Baker, Mark Allen can be contacted via phone (909) 305-1383.

Contact Information

Primary practice address
1335 W Cypress Ave Suite 100 San Dimas CA 91773-3516
Phone: (909) 305-1383
Fax: (909) 305-1435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 14488 California

Profile Details

NPI number 1750382925
LBN Legal business name Baker, Mark Allen
Credentials D.P.T., O.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750382925 NPPES
California Other 094711 HEALTHNET
California Other 21123014675 HEALTHNET
California Other 827415 HEALTHNET
California Other PP3950 HEALTHNET
California Other ZZZ01897Z HEALTHNET
California Other 0004140895 HEALTHNET
California Other 912124601 HEALTHNET

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