Baker, Jeffrey Thayne
Baker, Jeffrey Thayne is an individual health care provider with primary practice located at 2000 N. Boise Ave. , Loveland CO 80538-7282. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Baker, Jeffrey Thayne can be contacted via phone (970) 635-4071.Contact Information
Primary practice address
2000 N. Boise Ave.
Loveland CO 80538-7282
Phone: (970) 635-4071
Fax: (303) 306-7753
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 35303 | Colorado |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0035303 | Colorado |
Profile Details
NPI number | 1124052949 |
---|---|
LBN Legal business name | Baker, Jeffrey Thayne |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | Aug 25th, 2015 - about 9 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 | 1124052949 | NPPES |
Colorado | Other | P5808 | BCBS |
Colorado | MEDICAID | 33583579 | BCBS |
Colorado | Other | 930114618 | BCBS |
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