Baker, Clark D
Baker, Clark D is an individual health care provider with primary practice located at 2805 Dr John Haynes Dr , Pell City AL 35125-1448. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Baker, Clark D can be contacted via phone (205) 814-2104.Contact Information
Primary practice address
2805 Dr John Haynes Dr
Pell City AL 35125-1448
Phone: (205) 814-2104
Fax: (205) 814-2145
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 21072 | Alabama |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 21072 | Alabama |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21072 | Alabama |
Profile Details
NPI number | 1326034836 |
---|---|
LBN Legal business name | Baker, Clark D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2005 |
Last updated | Nov 18th, 2008 - about 16 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 | 1326034836 | NPPES |
Alabama | Other | 051522553 | BCBS |
Alabama | MEDICAID | 051522553 | BCBS |
Alabama | Other | 051540582 | BCBS |
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