Baker, Russell Andrew

Baker, Russell Andrew is an sole proprietor health care provider with primary practice located at 772 Bittersweet Pl , El Paso TX 79922-2002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Baker, Russell Andrew can be contacted via phone (575) 571-2931.

Contact Information

Primary practice address
772 Bittersweet Pl El Paso TX 79922-2002
Phone: (575) 571-2931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X BP1-0025744 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M9143 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X A144908 New Mexico

Profile Details

NPI number 1649466459
LBN Legal business name Baker, Russell Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2007
Last updated May 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649466459 NPPES
Texas Other 8BW498 BCBS
Texas MEDICAID 202772401 BCBS
Texas Other P00802542 BCBS

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