Baker, Misty Dawn
Baker, Misty Dawn is an individual health care provider with primary practice located at 305 N 5Th St , Longview TX 75601-6518. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Baker, Misty Dawn can be contacted via phone (903) 757-3338.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1758 | Texas |
Profile Details
| NPI number | 1740273937 |
|---|---|
| LBN Legal business name | Baker, Misty Dawn |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Oct 1st, 2014 - 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 | 1740273937 | NPPES |
| Texas | MEDICAID | 176132202 | |
| Texas | Other | 8EC351 | |
| Texas | Other | 8BG720 | |
| Texas | MEDICAID | 176132203 | |
| Texas | Other | P00439882 |
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