Baker, John Edgar

Baker, John Edgar is an sole proprietor health care provider with primary practice located at 68 Leonard St 2Nd Floor, Belmont MA 02478-2522. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Baker, John Edgar can be contacted via phone (617) 484-4447.

Contact Information

Primary practice address
68 Leonard St 2Nd Floor Belmont MA 02478-2522
Fax: (781) 641-0457
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3118 Massachusetts

Profile Details

NPI number 1568506137
LBN Legal business name Baker, John Edgar
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Aug 10th, 2007 - about 17 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 1568506137 NPPES
Massachusetts Other W03227 BLUE CROSS BLUE SHIELD

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