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
Fax: (303) 306-7753
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124052949 NPPES
Colorado Other P5808 BCBS
Colorado MEDICAID 33583579 BCBS
Colorado Other 930114618 BCBS

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