Baker, Michael P
Baker, Michael P is an individual health care provider with primary practice located at 2101 Tebeau St , Waycross GA 31501-6935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Baker, Michael P can be contacted via phone (912) 285-5690.Contact Information
Primary practice address
2101 Tebeau St
Waycross GA 31501-6935
Phone: (912) 285-5690
Fax: (912) 285-1753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036497 | Georgia |
Profile Details
| NPI number | 1982607339 |
|---|---|
| LBN Legal business name | Baker, Michael P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jan 22nd, 2013 - about 11 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 | 1982607339 | NPPES |
| Georgia | MEDICAID | 000532034E |
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