Baker, Charles Michael

Baker, Charles Michael is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Baker, Charles Michael can be contacted via phone (612) 813-6000.

Contact Information

Primary practice address
2525 Chicago Ave Minneapolis MN 55404-4518
Phone: (612) 813-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 37286 Minnesota

Profile Details

NPI number 1437198223
LBN Legal business name Baker, Charles Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 10th, 2019 - about 5 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 1437198223 NPPES
Wisconsin MEDICAID 32647300
Wisconsin MEDICAID 713717600

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