Baker, Kenneth
Baker, Kenneth is an individual health care provider with primary practice located at 960 N 16Th St Ste. 304, Springfield OR 97477-4175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Baker, Kenneth can be contacted via phone (541) 746-7914.Contact Information
Primary practice address
960 N 16Th St Ste. 304
Springfield OR 97477-4175
Phone: (541) 746-7914
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD24309 | Oregon |
Profile Details
| NPI number | 1538122759 |
|---|---|
| LBN Legal business name | Baker, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1538122759 | NPPES |
| Oregon | MEDICAID | 23032 |
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