Baker, Roger
Baker, Roger is an sole proprietor health care provider with primary practice located at 10209 Lake Grove Dr , Odessa FL 33556-2504. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Baker, Roger can be contacted via phone (813) 368-9645.Contact Information
Primary practice address
10209 Lake Grove Dr
Odessa FL 33556-2504
Phone: (813) 368-9645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH7025 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1154083418 |
|---|---|
| LBN Legal business name | Baker, Roger |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2021 |
| Last updated | Oct 13th, 2021 - about 3 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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