Baker, Edward
Baker, Edward is an sole proprietor health care provider with primary practice located at 1445 Stewartstown Rd Ste 200 , Morgantown WV 26505-3868. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Baker, Edward can be contacted via phone (304) 598-2300.Contact Information
Primary practice address
1445 Stewartstown Rd Ste 200
Morgantown WV 26505-3868
Phone: (304) 598-2300
Fax: (304) 598-2307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 797 | West Virginia |
Profile Details
| NPI number | 1104846757 |
|---|---|
| LBN Legal business name | Baker, Edward |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Oct 18th, 2021 - about 3 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 | 1104846757 | NPPES |
| West Virginia | MEDICAID | 3810001400 | |
| West Virginia | Other | 001716794 |
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