Baker, Beau

Baker, Beau is an individual health care provider with primary practice located at 2560 Business Pkwy Ste B , Minden NV 89423-8961. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Baker, Beau can be contacted via phone (775) 267-9411.

Contact Information

Primary practice address
2560 Business Pkwy Ste B Minden NV 89423-8961
Fax:
Website:

Profile Details

NPI number 1912290271
LBN Legal business name Baker, Beau
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2011
Last updated May 19th, 2011 - about 14 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 1912290271 NPPES
Nevada MEDICAID 22

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