Baker, Erica D

Baker, Erica D is an individual health care provider with primary practice located at 400 N Mount Zion Rd , Lebanon IN 46052-9497. 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, Erica D can be contacted via phone (756) 335-0123.

Contact Information

Primary practice address
400 N Mount Zion Rd Lebanon IN 46052-9497
Fax: (765) 335-0127
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7100588A Indiana

Profile Details

NPI number 1417320870
LBN Legal business name Baker, Erica D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2015
Last updated Apr 2nd, 2020 - about 5 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 1417320870 NPPES
Indiana MEDICAID 300027406

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