Baker, Roger E
Baker, Roger E is an individual health care provider with primary practice located at 4151 Holiday St Nw , Canton OH 44718-2531. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Baker, Roger E can be contacted via phone (330) 492-8001.Contact Information
Primary practice address
4151 Holiday St Nw
Canton OH 44718-2531
Phone: (330) 492-8001
Fax: (330) 492-2080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35-036032 | Ohio |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 35-036032 | Ohio |
Profile Details
| NPI number | 1568458263 |
|---|---|
| LBN Legal business name | Baker, Roger E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Oct 1st, 2012 - about 12 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 | 1568458263 | NPPES |
| Ohio | MEDICAID | O333795 |
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