Baker, Michael John

Baker, Michael John is an individual health care provider with primary practice located at 4502 Lt Eugene J Majure Dr , Pascagoula MS 39581-5305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Baker, Michael John can be contacted via phone (228) 696-9224.

Contact Information

Primary practice address
4502 Lt Eugene J Majure Dr Pascagoula MS 39581-5305
Phone: (228) 696-9224
Fax: (228) 696-9228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 903366 Mississippi

Profile Details

NPI number 1891354114
LBN Legal business name Baker, Michael John
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated May 17th, 2022 - about 3 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 1891354114 NPPES
Mississippi MEDICAID 02125328

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