Baker, Larry L

Baker, Larry L is an individual health care provider with primary practice located at 501 W 9Th St , Hastings NE 68901-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Baker, Larry L can be contacted via phone (402) 463-3088.

Contact Information

Primary practice address
501 W 9Th St Hastings NE 68901-3908
Phone: (402) 463-3088
Fax: (402) 463-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 22775 Nebraska

Profile Details

NPI number 1508967639
LBN Legal business name Baker, Larry L
Credentials M.D., D.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1508967639 NPPES
Nebraska MEDICAID 10025150000

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