Baker, Jonathan Douglas

Baker, Jonathan Douglas is an sole proprietor health care provider with primary practice located at 1316 W G St Ste 2 , Elizabethton TN 37643-2898. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Baker, Jonathan Douglas can be contacted via phone (423) 297-1037.

Contact Information

Primary practice address
1316 W G St Ste 2 Elizabethton TN 37643-2898
Phone: (423) 297-1037
Fax: (423) 297-1038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 9188
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9188 Tennessee

Profile Details

NPI number 1114278512
LBN Legal business name Baker, Jonathan Douglas
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2012
Last updated Jun 28th, 2023 - about 2 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 1114278512 NPPES
Tennessee Other 6008485 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 4336765 BLUE CROSS BLUE SHIELD TN

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