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
Fax: (916) 797-6728
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861430043 NPPES
California MEDICAID SD0086620

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