Baker, Gary Ronald

Baker, Gary Ronald is an individual health care provider with primary practice located at 1150 W Orangeburg Ave , Modesto CA 95350-4042. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Eye and Vision Services Providers / Technician/Technologist, Eye and Vision Services Providers / Contact Lens. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is his primary health care specialty. Baker, Gary Ronald can be contacted via phone (209) 526-9883.

Contact Information

Primary practice address
1150 W Orangeburg Ave Modesto CA 95350-4042
Phone: (209) 526-9883
Fax: (209) 526-8681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 207 California
Eye and Vision Services Providers / Technician/Technologist 156F00000X SL1875 California
Eye and Vision Services Providers / Contact Lens 156FC0800X CL325 California

Profile Details

NPI number 1093847733
LBN Legal business name Baker, Gary Ronald
Credentials H. AID DISPENSER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Nov 20th, 2012 - about 12 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 1093847733 NPPES
California Other SL1875 REGISTERED SPECTACLE LENS DISPENSER
California MEDICAID ZZZ71978Z REGISTERED SPECTACLE LENS DISPENSER
California Other #207 REGISTERED SPECTACLE LENS DISPENSER
California Other CL325 REGISTERED SPECTACLE LENS DISPENSER

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