Baker, Matthew G

Baker, Matthew G is an individual health care provider with primary practice located at 101 E Wt Harris Blvd Suite 5202, Charlotte NC 28262-3485. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Baker, Matthew G can be contacted via phone (704) 547-1495.

Contact Information

Primary practice address
101 E Wt Harris Blvd Suite 5202 Charlotte NC 28262-3485
Phone: (704) 547-1495
Fax: (704) 547-1861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-03915 North Carolina

Profile Details

NPI number 1356349914
LBN Legal business name Baker, Matthew G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 17th, 2016 - about 8 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 1356349914 NPPES
Illinois Other IL0111 JOHN DEERE PROV #
Illinois Other P00108973 JOHN DEERE PROV #
Illinois Other 713460 JOHN DEERE PROV #
Illinois Other 092552 JOHN DEERE PROV #
Illinois MEDICAID 1356349914 JOHN DEERE PROV #

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