Baker, Justin A
Baker, Justin A is an individual health care provider with primary practice located at 8 Laurel Ct , Moultrie GA 31768-6889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baker, Justin A can be contacted via phone (229) 891-9016.Contact Information
Primary practice address
8 Laurel Ct
Moultrie GA 31768-6889
Phone: (229) 891-9016
Fax: (229) 891-9185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 060434 | Georgia |
Profile Details
| NPI number | 1790707925 |
|---|---|
| LBN Legal business name | Baker, Justin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 28th, 2023 - about last year |
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 | 1790707925 | NPPES |
| Georgia | MEDICAID | 902633979B | |
| Georgia | MEDICAID | 902633979 |
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