Baker, Andrea Joy

Baker, Andrea Joy is an individual health care provider with primary practice located at 746 N Maize Rd , Wichita KS 67212. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Baker, Andrea Joy can be contacted via phone (316) 721-8877.

Contact Information

Primary practice address
746 N Maize Rd Wichita KS 67212
Phone: (316) 721-8877
Fax: (316) 721-6762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1521 Kansas

Profile Details

NPI number 1235102633
LBN Legal business name Baker, Andrea Joy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 2nd, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235102633 NPPES
Kansas MEDICAID 100318430A

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