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
Phone: (704) 671-5300
Fax: (704) 671-6307
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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