Baker, Charles Michael

Baker, Charles Michael is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baker, Charles Michael can be contacted via phone (910) 772-9202.

Contact Information

Primary practice address
2131 S 17Th St Wilmington NC 28401-7407
Phone: (910) 772-9202
Fax: (910) 772-9452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 167130 North Carolina

Profile Details

NPI number 1881748903
LBN Legal business name Baker, Charles Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 12th, 2021 - about 3 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 1881748903 NPPES
North Carolina MEDICAID 8052431
North Carolina Other P00299154

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