Baker, John Mark
Baker, John Mark is an individual health care provider with primary practice located at 600 N Fant St , Anderson SC 29621-5704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baker, John Mark can be contacted via phone (864) 512-2000.Contact Information
Primary practice address
600 N Fant St
Anderson SC 29621-5704
Phone: (864) 512-2000
Fax: (864) 512-8492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12896 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13844 | Hawaii |
Profile Details
| NPI number | 1760423339 |
|---|---|
| LBN Legal business name | Baker, John Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Sep 15th, 2015 - about 10 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 | 1760423339 | NPPES |
| South Carolina | MEDICAID | 128962 | |
| South Carolina | Other | S376900 | |
| South Carolina | Other | 080112826 | |
| South Carolina | Other | P01487648 | |
| South Carolina | MEDICAID | 12896 |
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