Baker, Bonita K.
Baker, Bonita K. is an individual health care provider with primary practice located at 1415 E. Kincaid Street , Mount Vernon WA 98274-4126. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Baker, Bonita K. can be contacted via phone (360) 416-5750.Contact Information
Primary practice address
1415 E. Kincaid Street
Mount Vernon WA 98274-4126
Phone: (360) 416-5750
Fax: (360) 416-5758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 92-177 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60087905 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD60087905 | Washington |
Profile Details
| NPI number | 1336224013 |
|---|---|
| LBN Legal business name | Baker, Bonita K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Dec 10th, 2010 - about 15 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 | 1336224013 | NPPES |
| Washington | Other | 263686 | LABOR & INDUSTRIES |
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