Baker, Angela
Baker, Angela is an sole proprietor health care provider with primary practice located at 2205 Ironwood Pi Ste A/B , Coeur D Alene ID 83814-2785. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Baker, Angela can be contacted via phone (208) 664-8347.Contact Information
Primary practice address
2205 Ironwood Pi Ste A/B
Coeur D Alene ID 83814-2785
Phone: (208) 664-8347
Fax: (208) 664-9217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10300 | Idaho |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ACADC11536 | Idaho |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC6286 | Idaho |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC-9921 | Idaho |
Profile Details
| NPI number | 1598114035 |
|---|---|
| LBN Legal business name | Baker, Angela |
| Credentials | LCPC/ ACADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2016 |
| Last updated | Nov 8th, 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 | 1598114035 | NPPES |
| Idaho | MEDICAID | OPTUM1235503426 |
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