Baker, Michael Russell

Baker, Michael Russell is an individual health care provider with primary practice located at 11704 W Center Rd Ste 200, Omaha NE 68144-4375. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Baker, Michael Russell can be contacted via phone (402) 691-0500.

Contact Information

Primary practice address
11704 W Center Rd Ste 200 Omaha NE 68144-4375
Phone: (402) 691-0500
Fax: (402) 505-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 196 Nebraska

Profile Details

NPI number 1659346047
LBN Legal business name Baker, Michael Russell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 4th, 2021 - about 4 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 1659346047 NPPES
Nebraska Other 196 NE PA LICENSE NMBR
Nebraska Other R80756 NE PA LICENSE NMBR

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