Baker, Jennifer Landry

Baker, Jennifer Landry is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Baker, Jennifer Landry can be contacted via phone (719) 365-5000.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Phone: (719) 365-5000
Fax: (303) 306-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD201374 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M9828 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0052241 Colorado

Profile Details

NPI number 1992916811
LBN Legal business name Baker, Jennifer Landry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 29th, 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 1992916811 NPPES
Colorado MEDICAID 37525581

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