Baker, Ralph Simon
Baker, Ralph Simon is an individual health care provider with primary practice located at 9221 Sierra College Blvd Ste 130 , Roseville CA 95661-5919. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baker, Ralph Simon can be contacted via phone (916) 797-6747.Contact Information
Primary practice address
9221 Sierra College Blvd Ste 130
Roseville CA 95661-5919
Phone: (916) 797-6747
Fax: (916) 797-6728
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 8662T | California |
Profile Details
NPI number | 1861430043 |
---|---|
LBN Legal business name | Baker, Ralph Simon |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Nov 7th, 2023 - about last year |
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 | 1861430043 | NPPES |
California | MEDICAID | SD0086620 |
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