Baker, Christian

Baker, Christian is an individual health care provider with primary practice located at 1079 Dutch Fork Rd , Irmo SC 29063-8725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baker, Christian can be contacted via phone (803) 749-8900.

Contact Information

Primary practice address
1079 Dutch Fork Rd Irmo SC 29063-8725
Phone: (803) 749-8900
Fax: (803) 749-8899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39644 South Carolina

Profile Details

NPI number 1629427422
LBN Legal business name Baker, Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Jul 26th, 2019 - about 6 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 1629427422 NPPES
South Carolina MEDICAID 396440

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