Baker, Alfred L

Baker, Alfred L is an individual health care provider with primary practice located at 3155 Maplewood Ave , Winston Salem NC 27103-3903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baker, Alfred L can be contacted via phone (336) 794-4372.

Contact Information

Primary practice address
3155 Maplewood Ave Winston Salem NC 27103-3903
Fax: (336) 659-2379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30279 North Carolina

Profile Details

NPI number 1639128713
LBN Legal business name Baker, Alfred L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Mar 7th, 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 1639128713 NPPES
North Carolina MEDICAID 891268A

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