Baker, Shelby

Baker, Shelby is an individual health care provider with primary practice located at 17 W Broad St , Burlington NJ 08016-4413. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baker, Shelby can be contacted via phone (609) 386-0352.

Contact Information

Primary practice address
17 W Broad St Burlington NJ 08016-4413
Fax: (609) 386-3702
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00375000 New Jersey

Profile Details

NPI number 1356411979
LBN Legal business name Baker, Shelby
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356411979 NPPES
New Jersey MEDICAID 1421603

Popular Providers