Baker, Darrel A

Baker, Darrel A is an individual health care provider with primary practice located at 2800 Pierce St Suite 202, Sioux City IA 51104-3407. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Baker, Darrel A can be contacted via phone (712) 255-0107.

Contact Information

Primary practice address
2800 Pierce St Suite 202 Sioux City IA 51104-3407
Phone: (712) 255-0107
Fax: (712) 255-0145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6049 Iowa

Profile Details

NPI number 1467411033
LBN Legal business name Baker, Darrel A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - 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 1467411033 NPPES
Iowa MEDICAID 0045112
Iowa MEDICAID 7850270
Iowa Other 25225
Iowa MEDICAID 91201365400

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