Baker, Jay P
Baker, Jay P is an individual health care provider with primary practice located at 1540 E Evergreen St , Springfield MO 65803-4300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Baker, Jay P can be contacted via phone (417) 823-2900.Contact Information
Primary practice address
1540 E Evergreen St
Springfield MO 65803-4300
Phone: (417) 823-2900
Fax: (417) 886-2774
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 36747 | Missouri |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 36747 | Missouri |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 36747 | Missouri |
Profile Details
NPI number | 1972509974 |
---|---|
LBN Legal business name | Baker, Jay P |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Jan 26th, 2024 - about 11 months 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 | 1972509974 | NPPES |
Missouri | MEDICAID | 243677937 | |
Missouri | Other | P00189701 |
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