Baker, Michelle Ruth

Baker, Michelle Ruth is an sole proprietor health care provider with primary practice located at 2703 W Genesee St , Syracuse NY 13219-1542. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Baker, Michelle Ruth can be contacted via phone (315) 487-9285.

Contact Information

Primary practice address
2703 W Genesee St Syracuse NY 13219-1542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 560169-1 New York

Profile Details

NPI number 1477729937
LBN Legal business name Baker, Michelle Ruth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated May 5th, 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 1477729937 NPPES
New York MEDICAID 02760130

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