Baker, Edmond Lowe

Baker, Edmond Lowe is an individual health care provider with primary practice located at 3306 W Roosevelt St , Phoenix AZ 85009-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Baker, Edmond Lowe can be contacted via phone (602) 889-9401.

Contact Information

Primary practice address
3306 W Roosevelt St Phoenix AZ 85009-3404
Phone: (602) 889-9401
Fax: (602) 889-9404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 37240 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 81650 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37240 Arizona

Profile Details

NPI number 1235304171
LBN Legal business name Baker, Edmond Lowe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Mar 23rd, 2022 - about 2 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 1235304171 NPPES
Massachusetts Other 238838 MASSACHUSETTS LICENSE
Massachusetts Other 37240 MASSACHUSETTS LICENSE
Massachusetts MEDICAID 467843 MASSACHUSETTS LICENSE

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