Baker, Marty Allen

Baker, Marty Allen is an individual health care provider with primary practice located at 705 Summit Crossing Pl Suite 150, Gastonia NC 28054-2137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Baker, Marty Allen can be contacted via phone (704) 671-5300.

Contact Information

Primary practice address
705 Summit Crossing Pl Suite 150 Gastonia NC 28054-2137
Fax: (704) 671-6307
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200000009 North Carolina

Profile Details

NPI number 1730103953
LBN Legal business name Baker, Marty Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 28th, 2023 - about 2 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 1730103953 NPPES
North Carolina MEDICAID 891292W
North Carolina Other 1292W
North Carolina Other 237446783
North Carolina Other N00009

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