Baker, John R

Baker, John R is an individual health care provider with primary practice located at 300 Medical Pkwy Ste 212 , Chesapeake VA 23320-4985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Neurology, which is considered as his primary health care specialty. Baker, John R can be contacted via phone (757) 312-5292.

Contact Information

Primary practice address
300 Medical Pkwy Ste 212 Chesapeake VA 23320-4985
Phone: (757) 312-5292
Fax: (757) 609-3225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X MD424173 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 0101249463 Virginia

Profile Details

NPI number 1043294663
LBN Legal business name Baker, John R
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 20th, 2020 - about 5 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 1043294663 NPPES
Pennsylvania MEDICAID 1010588770001

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