Baker, Roderick
Baker, Roderick is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30046-8444. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Baker, Roderick can be contacted via phone (678) 209-2394.Contact Information
Primary practice address
175 Gwinnett Dr
Lawrenceville GA 30046-8444
Phone: (678) 209-2394
Fax: (678) 212-6343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 553 | Georgia |
Profile Details
| NPI number | 1508283979 |
|---|---|
| LBN Legal business name | Baker, Roderick |
| Credentials | CADC II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2014 |
| Last updated | Mar 24th, 2014 - about 12 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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