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
Phone: (617) 484-4447
Fax: (781) 641-0457
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568506137 | NPPES |
Massachusetts | Other | W03227 | BLUE CROSS BLUE SHIELD |
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