Baker, Michael Leo
Baker, Michael Leo is an individual health care provider with primary practice located at 29 S Fourth St , Rolling Fork MS 39159-5146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baker, Michael Leo can be contacted via phone (662) 873-4361.Contact Information
Primary practice address
29 S Fourth St
Rolling Fork MS 39159-5146
Phone: (662) 873-4361
Fax: (662) 873-2921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15475 | Mississippi |
Profile Details
| NPI number | 1043236722 |
|---|---|
| LBN Legal business name | Baker, Michael Leo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 24th, 2017 - about 9 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 | 1043236722 | NPPES |
| Mississippi | MEDICAID | 0123141 |
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