Baker, Matthew T

Baker, Matthew T is an individual health care provider with primary practice located at 1000 E 15 S Ste 350, Payson UT 84651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Baker, Matthew T can be contacted via phone (801) 465-5602.

Contact Information

Primary practice address
1000 E 15 S Ste 350 Payson UT 84651
Phone: (801) 465-5602
Fax: (801) 465-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 46844 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 2779781205 Utah

Profile Details

NPI number 1700881950
LBN Legal business name Baker, Matthew T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Aug 4th, 2021 - about 5 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 1700881950 NPPES
Wisconsin MEDICAID 34534000

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