Baker, Charles Russell

Baker, Charles Russell is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. 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 Russell can be contacted via phone (410) 328-6704.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-6704
Fax: (410) 328-4124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R069121 Maryland

Profile Details

NPI number 1538172200
LBN Legal business name Baker, Charles Russell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated May 30th, 2008 - about 17 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 1538172200 NPPES
Maryland MEDICAID 533941300

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