Baker, Amanda Brooke

Baker, Amanda Brooke is an individual health care provider with primary practice located at 1607 Jefferson St , Chattanooga TN 37408-2127. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Baker, Amanda Brooke can be contacted via phone (423) 443-0727.

Contact Information

Primary practice address
1607 Jefferson St Chattanooga TN 37408-2127
Phone: (423) 443-0727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 4710 Tennessee

Profile Details

NPI number 1780154591
LBN Legal business name Baker, Amanda Brooke
Credentials MSOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2018
Last updated Dec 5th, 2018 - about 7 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 1780154591 NPPES
Tennessee Other 4710 STATE OF TENNESSEE

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