Baker, Gary Hungerford

Baker, Gary Hungerford is an sole proprietor health care provider with primary practice located at 3300 Renner Dr , Fortuna CA 95540-3120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baker, Gary Hungerford can be contacted via phone (707) 725-3361.

Contact Information

Primary practice address
3300 Renner Dr Fortuna CA 95540-3120
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A22964 California

Profile Details

NPI number 1275635278
LBN Legal business name Baker, Gary Hungerford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jan 10th, 2008 - about 16 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 1275635278 NPPES
California MEDICAID 00A229640

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