Baker, Richard Jospeh

Baker, Richard Jospeh is an individual health care provider with primary practice located at 1401 E 12Th St , Mendota IL 61342-9216. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baker, Richard Jospeh can be contacted via phone (815) 875-6001.

Contact Information

Primary practice address
1401 E 12Th St Mendota IL 61342-9216
Phone: (815) 875-6001
Fax: (815) 875-3612
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209007858 Illinois

Profile Details

NPI number 1376879122
LBN Legal business name Baker, Richard Jospeh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2009
Last updated May 20th, 2015 - about 10 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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