Baker, Charles
Baker, Charles is an sole proprietor health care provider with primary practice located at 334 Smith Ave , Thomasville GA 31792-5533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Baker, Charles can be contacted via phone (229) 227-1595.Contact Information
Primary practice address
334 Smith Ave
Thomasville GA 31792-5533
Phone: (229) 227-1595
Fax: (229) 227-1385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 003660 | Georgia |
Profile Details
| NPI number | 1477597946 |
|---|---|
| LBN Legal business name | Baker, Charles |
| Credentials | PHYSICIAN ASSISTANCE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Sep 13th, 2018 - about 7 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 | 1477597946 | NPPES |
| Georgia | MEDICAID | 100001820P |
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