Baker, Amanda Marie
Baker, Amanda Marie is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Baker, Amanda Marie can be contacted via phone (919) 784-3034.Contact Information
Primary practice address
4420 Lake Boone Trl
Raleigh NC 27607-7505
Phone: (919) 784-3034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 200401209 | North Carolina |
Profile Details
| NPI number | 1346454881 |
|---|---|
| LBN Legal business name | Baker, Amanda Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | May 24th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346454881 | NPPES |
| Virginia | MEDICAID | 1346454881 | |
| Virginia | MEDICAID | Q0120E | |
| Virginia | MEDICAID | 3810009477 | |
| Virginia | Other | 147CE | |
| Virginia | Other | 201079 | |
| Virginia | MEDICAID | 5906909 | |
| Virginia | Other | 9905110 | |
| Virginia | Other | 810618 |
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