Baker, Justin K
Baker, Justin K is an individual health care provider with primary practice located at 4045 E Bell Rd Ste #143, Phoenix AZ 85032-2236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baker, Justin K can be contacted via phone (602) 867-0404.Contact Information
Primary practice address
4045 E Bell Rd Ste #143
Phoenix AZ 85032-2236
Phone: (602) 867-0404
Fax: (602) 788-0893
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 33732 | Arizona |
Profile Details
NPI number | 1831145622 |
---|---|
LBN Legal business name | Baker, Justin K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | Jan 13th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831145622 | NPPES |
Arizona | MEDICAID | 975162 | |
Arizona | Other | AZ0153720 |
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