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
Phone: (808) 242-2600
Fax: (808) 242-2626
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255406104 | NPPES |
Hawaii | MEDICAID | 03126101 |
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