Baker, Jack R

Baker, Jack R is an individual health care provider with primary practice located at 210 25Th Ave N Ste 1204 , Nashville TN 37203-1620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baker, Jack R can be contacted via phone (615) 312-0600.

Contact Information

Primary practice address
210 25Th Ave N Ste 1204 Nashville TN 37203-1620
Phone: (615) 312-0600
Fax: (615) 320-3259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18615 Tennessee

Profile Details

NPI number 1699752493
LBN Legal business name Baker, Jack R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Mar 3rd, 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 1699752493 NPPES
Kentucky MEDICAID 64037765
Kentucky MEDICAID 1509034
Kentucky MEDICAID 3051603
Kentucky MEDICAID 3051608
Kentucky MEDICAID 3718587
Kentucky Other 3721492
Kentucky Other 300116569
Kentucky Other 3159114

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