Baker, Robert Ellis
Baker, Robert Ellis is an sole proprietor health care provider with primary practice located at 111 W Broadway Ave , Broken Arrow OK 74012-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Baker, Robert Ellis can be contacted via phone (918) 258-5656.Contact Information
Primary practice address
111 W Broadway Ave
Broken Arrow OK 74012-3814
Phone: (918) 258-5656
Fax: (918) 258-8722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 1591 | Oklahoma |
Profile Details
| NPI number | 1851369201 |
|---|---|
| LBN Legal business name | Baker, Robert Ellis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1851369201 | NPPES |
| Oklahoma | MEDICAID | 100087290A | |
| Oklahoma | MEDICAID | 100087290C |
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