Baker, Bennie L
Baker, Bennie L is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Baker, Bennie L can be contacted via phone (843) 777-2314.Contact Information
Primary practice address
555 E Cheves St
Florence SC 29506-2617
Phone: (843) 777-2314
Fax: (843) 777-5035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TL29634 | South Carolina |
Profile Details
| NPI number | 1710987045 |
|---|---|
| LBN Legal business name | Baker, Bennie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Oct 5th, 2007 - about 18 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 | 1710987045 | NPPES |
| South Carolina | MEDICAID | 296343 |
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