Baker, Jack W
Baker, Jack W is an sole proprietor health care provider with primary practice located at 1730 Hidden Hollow Ln Nw , Cedar Rapids IA 52405-1545. 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 W can be contacted via phone (319) 393-5544.Contact Information
Primary practice address
1730 Hidden Hollow Ln Nw
Cedar Rapids IA 52405-1545
Phone: (319) 393-5544
Fax: (319) 743-0014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00259 | Iowa |
Profile Details
| NPI number | 1992850275 |
|---|---|
| LBN Legal business name | Baker, Jack W |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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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