Baker, Bethany W
Baker, Bethany W is an individual health care provider with primary practice located at 325 Public St , Providence RI 02905-2340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baker, Bethany W can be contacted via phone (401) 752-2693.Contact Information
Primary practice address
325 Public St
Providence RI 02905-2340
Phone: (401) 752-2693
Fax: (401) 752-2694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN01017 | Rhode Island |
Profile Details
| NPI number | 1942289475 |
|---|---|
| LBN Legal business name | Baker, Bethany W |
| Credentials | NURSR PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Mar 30th, 2021 - about 3 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 | 1942289475 | NPPES |
| Rhode Island | MEDICAID | BB57895 |
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