Baker, John
Baker, John is an individual health care provider with primary practice located at 587 Skyline Dr , Jackson TN 38301-3938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Baker, John can be contacted via phone (731) 421-6510.Contact Information
Primary practice address
587 Skyline Dr
Jackson TN 38301-3938
Phone: (731) 421-6510
Fax: (731) 421-6500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 28097 | Tennessee |
Profile Details
| NPI number | 1003801796 |
|---|---|
| LBN Legal business name | Baker, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jun 7th, 2022 - about 2 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 | 1003801796 | NPPES |
| Tennessee | MEDICAID | 1505760 | |
| Tennessee | MEDICAID | 3807824 |
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