Baker, Lyda A
Baker, Lyda A is an sole proprietor health care provider with primary practice located at 951 W Seldon Rd Apt 3 , Wasilla AK 99654-3464. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Baker, Lyda A can be contacted via phone (907) 884-6604.Contact Information
Primary practice address
951 W Seldon Rd Apt 3
Wasilla AK 99654-3464
Phone: (907) 884-6604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2002 | Alaska |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 2002 | Alaska |
Profile Details
| NPI number | 1609903186 |
|---|---|
| LBN Legal business name | Baker, Lyda A |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Dec 28th, 2012 - about 12 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 | 1609903186 | NPPES |
| New Mexico | MEDICAID | 00071986 | |
| New Mexico | Other | 2002 |
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