Baker, Bruce Henry

Baker, Bruce Henry is an individual health care provider with primary practice located at 3210 Eagle Run Dr Suite 200, Grand Rapids MI 49525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Baker, Bruce Henry can be contacted via phone (616) 957-1200.

Contact Information

Primary practice address
3210 Eagle Run Dr Suite 200 Grand Rapids MI 49525
Phone: (616) 957-1200
Fax: (616) 957-1297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 100005 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 100005 Michigan

Profile Details

NPI number 1952377566
LBN Legal business name Baker, Bruce Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 30th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952377566 NPPES
Michigan MEDICAID 4786146

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