Baker, Phillip Bradford

Baker, Phillip Bradford is an individual health care provider with primary practice located at 222 Medical Cir , Morehead KY 40351-1179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baker, Phillip Bradford can be contacted via phone (606) 783-6500.

Contact Information

Primary practice address
222 Medical Cir Morehead KY 40351-1179
Fax: (606) 783-6878
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R2868 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04048 Kentucky

Profile Details

NPI number 1376802157
LBN Legal business name Baker, Phillip Bradford
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2012
Last updated Jan 16th, 2020 - about 4 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 1376802157 NPPES
Kentucky Other K218390 MEDICARE OWINGSVILLE
Kentucky MEDICAID 7100287680 MEDICARE OWINGSVILLE

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