Baker, Joe Blunt
Baker, Joe Blunt is an sole proprietor health care provider with primary practice located at 12554 Riata Vista Cir , Austin TX 78727. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Baker, Joe Blunt can be contacted via phone (512) 795-5100.Contact Information
Primary practice address
12554 Riata Vista Cir
Austin TX 78727
Phone: (512) 795-5100
Fax: (512) 795-5122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | R1929 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 036.140204 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R1929 | Texas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036.140204 | Illinois |
Profile Details
| NPI number | 1265756233 |
|---|---|
| LBN Legal business name | Baker, Joe Blunt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2010 |
| Last updated | Sep 16th, 2021 - about 3 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 | 1265756233 | NPPES |
| Texas | MEDICAID | 371577301 |
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