Baker, Jonathan Glenn

Baker, Jonathan Glenn is an individual health care provider with primary practice located at 984 West Broadway Suite 4, Jackson WY 83001-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Baker, Jonathan Glenn can be contacted via phone (307) 734-1800.

Contact Information

Primary practice address
984 West Broadway Suite 4 Jackson WY 83001-0000
Fax: (307) 734-5012
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 8097A Wyoming
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A55560 California

Profile Details

NPI number 1447233754
LBN Legal business name Baker, Jonathan Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Aug 4th, 2014 - 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.

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