Baker, Ethelbert Jackson

Baker, Ethelbert Jackson is an individual health care provider with primary practice located at 4439 State Route 159 Suite 130, Chillicothe OH 45601-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Baker, Ethelbert Jackson can be contacted via phone (740) 779-4360.

Contact Information

Primary practice address
4439 State Route 159 Suite 130 Chillicothe OH 45601-8207
Phone: (740) 779-4360
Fax: (740) 779-4369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X K9019 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35068644 Ohio

Profile Details

NPI number 1417922758
LBN Legal business name Baker, Ethelbert Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jan 3rd, 2023 - 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 1417922758 NPPES
Ohio MEDICAID 0159260

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