Baker, Nicole

Baker, Nicole is an sole proprietor health care provider with primary practice located at 90 Hope Drive 366 Mdg/Sgxw, Mountain Home Afb ID 83648-1057. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is her primary health care specialty. Baker, Nicole can be contacted via phone (208) 828-7580.

Contact Information

Primary practice address
90 Hope Drive 366 Mdg/Sgxw Mountain Home Afb ID 83648-1057
Phone: (208) 828-7580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 29087 Nebraska

Profile Details

NPI number 1689011462
LBN Legal business name Baker, Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2013
Last updated Nov 23rd, 2022 - about 3 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 1689011462 NPPES
Nebraska Other 29087 STATE OF NEBRASKA DEPT. OF HHS, DIVISION OF PUBLIC HEALTH
Nebraska Other ACKNOWLEDGEMENT LETT STATE OF NEBRASKA DEPT. OF HHS, DIVISION OF PUBLIC HEALTH

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