Baker, Phillip Andrew
Baker, Phillip Andrew is an sole proprietor health care provider with primary practice located at 230 N Sawyer St , Oshkosh WI 54902-4280. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Baker, Phillip Andrew can be contacted via phone (920) 233-1030.Contact Information
Primary practice address
230 N Sawyer St
Oshkosh WI 54902-4280
Phone: (920) 233-1030
Fax: (920) 233-7398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4436-015 | Wisconsin |
Profile Details
| NPI number | 1356355242 |
|---|---|
| LBN Legal business name | Baker, Phillip Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1356355242 | NPPES |
| Wisconsin | MEDICAID | 33720600 |
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