Baker, Bobby Calvin

Baker, Bobby Calvin is an individual health care provider with primary practice located at 227 Mahalani St , Wailuku HI 96793-2526. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Baker, Bobby Calvin can be contacted via phone (808) 242-2600.

Contact Information

Primary practice address
227 Mahalani St Wailuku HI 96793-2526
Fax: (808) 242-2626
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD6552 Hawaii

Profile Details

NPI number 1255406104
LBN Legal business name Baker, Bobby Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1255406104 NPPES
Hawaii MEDICAID 03126101

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