Baker, Jax Taylor
Baker, Jax Taylor is an individual health care provider with primary practice located at 1154 W Beebe Capps Expy , Searcy AR 72143. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Baker, Jax Taylor can be contacted via phone (501) 781-2230.Contact Information
Primary practice address
1154 W Beebe Capps Expy
Searcy AR 72143
Phone: (501) 781-2230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1607091 | Arkansas |
Profile Details
| NPI number | 1790003846 |
|---|---|
| LBN Legal business name | Baker, Jax Taylor |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2010 |
| Last updated | Jan 11th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790003846 | NPPES |
| Arkansas | MEDICAID | 228551719 |
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