Baker, Gene Benjamin

Baker, Gene Benjamin is an individual health care provider with primary practice located at 2137 Lakeside Dr Ste 100, Lynchburg VA 24501-6806. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baker, Gene Benjamin can be contacted via phone (434) 385-4184.

Contact Information

Primary practice address
2137 Lakeside Dr Ste 100 Lynchburg VA 24501-6806
Phone: (434) 385-4184
Fax: (434) 385-8616
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002119 Virginia

Profile Details

NPI number 1033192745
LBN Legal business name Baker, Gene Benjamin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Aug 14th, 2013 - about 11 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 1033192745 NPPES
Other 008344C68 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
MEDICAID 010179301 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other 1528155892 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other CA2436 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other P00370488 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
MEDICAID 1528155892 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other 1972680049 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other CO3658 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other C08183 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07

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