Baker, Emma Jane

Baker, Emma Jane is an sole proprietor health care provider with primary practice located at 812 Kennilworth Rd Sw , Decatur AL 35603-1316. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baker, Emma Jane can be contacted via phone (256) 353-8528.

Contact Information

Primary practice address
812 Kennilworth Rd Sw Decatur AL 35603-1316
Phone: (256) 353-8528
Fax: (866) 268-4763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4567812 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07091825C Alabama

Profile Details

NPI number 1508894940
LBN Legal business name Baker, Emma Jane
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Apr 26th, 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 1508894940 NPPES
Alabama Other 11794122 CAQH

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