Baker, Russell Barre

Baker, Russell Barre is an individual health care provider with primary practice located at 309 11Th St , Carrollton KY 41008-1435. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Baker, Russell Barre can be contacted via phone (502) 732-3280.

Contact Information

Primary practice address
309 11Th St Carrollton KY 41008-1435
Phone: (502) 732-3280
Fax: (502) 732-3284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 247793 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 247793 Kentucky

Profile Details

NPI number 1760043822
LBN Legal business name Baker, Russell Barre
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2019
Last updated Apr 8th, 2024 - about 8 months 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 1760043822 NPPES
Kentucky MEDICAID 7100919580
Kentucky MEDICAID 300084017

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