Baker, Michael Wallace

Baker, Michael Wallace is an individual health care provider with primary practice located at 5312 W 10Th St , Little Rock AR 72204-1852. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Baker, Michael Wallace can be contacted via phone (501) 280-9195.

Contact Information

Primary practice address
5312 W 10Th St Little Rock AR 72204-1852
Phone: (501) 280-9195
Fax: (501) 663-7267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OTR1585 Arkansas

Profile Details

NPI number 1467602045
LBN Legal business name Baker, Michael Wallace
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2008
Last updated Sep 19th, 2008 - about 16 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 1467602045 NPPES
Arkansas Other OTR1585 ARKANSAS STATE MEDICAL BOARD

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