Baeker, Thomas Robert

Baeker, Thomas Robert is an individual health care provider with primary practice located at 520 Techwood Drive Suite 100, Danville KY 40422-8500. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Baeker, Thomas Robert can be contacted via phone (859) 236-2203.

Contact Information

Primary practice address
520 Techwood Drive Suite 100 Danville KY 40422-8500
Fax: (859) 238-2206
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 207RH0003X Kentucky
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 28455 Kentucky

Profile Details

NPI number 1992700926
LBN Legal business name Baeker, Thomas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 4th, 2011 - about 13 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 1992700926 NPPES
Kentucky Other 023379600 FEDERAL BLACK LUNG
Kentucky Other 110109119 FEDERAL BLACK LUNG
Kentucky Other 611277847 FEDERAL BLACK LUNG
Kentucky Other 611277847 FEDERAL BLACK LUNG
Kentucky Other 611277847 FEDERAL BLACK LUNG
Kentucky Other 1066562 FEDERAL BLACK LUNG
Kentucky Other 4242445 FEDERAL BLACK LUNG
Kentucky Other 611277847 FEDERAL BLACK LUNG
Kentucky Other A13422 FEDERAL BLACK LUNG
Kentucky Other 00000051069 FEDERAL BLACK LUNG
Kentucky Other 87107 FEDERAL BLACK LUNG
Kentucky MEDICAID 64284557 FEDERAL BLACK LUNG

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