Baker, Jerald F
Baker, Jerald F is an sole proprietor health care provider with primary practice located at 606 N 3Rd Ave Ste. 102, Sandpoint ID 83864-1594. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Baker, Jerald F can be contacted via phone (208) 265-1700.Contact Information
Primary practice address
606 N 3Rd Ave Ste. 102
Sandpoint ID 83864-1594
Phone: (208) 265-1700
Fax: (208) 265-1750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M3013 | Idaho |
Profile Details
| NPI number | 1164514246 |
|---|---|
| LBN Legal business name | Baker, Jerald F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Nov 23rd, 2012 - about 13 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 | 1164514246 | NPPES |
| Idaho | MEDICAID | 251200 |
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