Bakaev, Innokentiy

Bakaev, Innokentiy is an individual health care provider with primary practice located at 150 Park St , Lawrence MA 01841-2517. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bakaev, Innokentiy can be contacted via phone (978) 685-1770.

Contact Information

Primary practice address
150 Park St Lawrence MA 01841-2517
Phone: (978) 685-1770
Fax: (978) 682-5787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2395431 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 254840 Massachusetts

Profile Details

NPI number 1942430608
LBN Legal business name Bakaev, Innokentiy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2009
Last updated Mar 11th, 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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