Baker, Miriam T
Baker, Miriam T is an individual health care provider with primary practice located at 855 N Euclid Ave , Ontario CA 91762-2729. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Baker, Miriam T can be contacted via phone (909) 983-2020.Contact Information
Primary practice address
855 N Euclid Ave
Ontario CA 91762-2729
Phone: (909) 983-2020
Fax: (909) 983-6847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1164846697 |
|---|---|
| LBN Legal business name | Baker, Miriam T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2014 |
| Last updated | Feb 4th, 2014 - about 10 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 | 1164846697 | NPPES |
| California | MEDICAID | 95-1946482 |
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