Baker, Jack David

Baker, Jack David is an individual health care provider with primary practice located at 1530 Wilson Blvd Ste 360 , Arlington VA 22209-2466. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Baker, Jack David can be contacted via phone (571) 534-3825.

Contact Information

Primary practice address
1530 Wilson Blvd Ste 360 Arlington VA 22209-2466
Phone: (571) 534-3825
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1073155453
LBN Legal business name Baker, Jack David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2019
Last updated Mar 14th, 2024 - 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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