Baker, Deborah S
Baker, Deborah S is an individual health care provider with primary practice located at 7230 Engle Rd Suite 140, Fort Wayne IN 46804-2234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baker, Deborah S can be contacted via phone (260) 482-3886.Contact Information
Primary practice address
7230 Engle Rd Suite 140
Fort Wayne IN 46804-2234
Phone: (260) 482-3886
Fax: (260) 482-1910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28103902A | Indiana |
Profile Details
| NPI number | 1467630061 |
|---|---|
| LBN Legal business name | Baker, Deborah S |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2008 |
| Last updated | Oct 5th, 2015 - about 10 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 | 1467630061 | NPPES |
| Indiana | MEDICAID | 201002220 |
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