Baker, Paul David
Baker, Paul David is an individual health care provider with primary practice located at 450 S Kitsap Blvd , Port Orchard WA 98366-3773. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Baker, Paul David can be contacted via phone (360) 874-5900.Contact Information
Primary practice address
450 S Kitsap Blvd
Port Orchard WA 98366-3773
Phone: (360) 874-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30004763 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30004763 | Washington |
Profile Details
| NPI number | 1508868274 |
|---|---|
| LBN Legal business name | Baker, Paul David |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Feb 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508868274 | NPPES |
| Washington | MEDICAID | 9622556 |
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