Baker, John Robert

Baker, John Robert is an sole proprietor health care provider with primary practice located at 409 Virginia Dr , Batesville AR 72501-7329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baker, John Robert can be contacted via phone (870) 793-5356.

Contact Information

Primary practice address
409 Virginia Dr Batesville AR 72501-7329
Phone: (870) 793-5356
Fax: (870) 793-7017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-5033 Arkansas

Profile Details

NPI number 1457388266
LBN Legal business name Baker, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Nov 18th, 2009 - about 15 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 1457388266 NPPES
Arkansas Other C-5033 LISCENSE
Arkansas MEDICAID 102554001 LISCENSE

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