Baker, Gregory L.

Baker, Gregory L. is an sole proprietor health care provider with primary practice located at 613 23Rd St Ste 420 , Ashland KY 41101-2885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Baker, Gregory L. can be contacted via phone (606) 325-8561.

Contact Information

Primary practice address
613 23Rd St Ste 420 Ashland KY 41101-2885
Fax: (606) 325-3591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 33745 Kentucky

Profile Details

NPI number 1205929155
LBN Legal business name Baker, Gregory L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Nov 18th, 2021 - about 3 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 1205929155 NPPES
Kentucky MEDICAID 64373459
Kentucky MEDICAID 2108918
Kentucky Other P00885633
Kentucky MEDICAID 0100936000

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