Baker, Brent T

Baker, Brent T is an individual health care provider with primary practice located at 201 Park St , Bowling Green KY 42101-1759. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Baker, Brent T can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
201 Park St Bowling Green KY 42101-1759
Phone: (270) 781-5111
Fax: (270) 780-0498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200101005 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TP646 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42780 Kentucky

Profile Details

NPI number 1609836774
LBN Legal business name Baker, Brent T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 1st, 2014 - about 11 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 1609836774 NPPES
North Carolina MEDICAID 8985166
North Carolina MEDICAID 7100076010
North Carolina Other 000000618536

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