Baker, Russell Thomas

Baker, Russell Thomas is an individual health care provider with primary practice located at 8432 Magnolia Ave , Riverside CA 92504-3206. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Baker, Russell Thomas can be contacted via phone (239) 560-7854.

Contact Information

Primary practice address
8432 Magnolia Ave Riverside CA 92504-3206
Phone: (239) 560-7854
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1215130828
LBN Legal business name Baker, Russell Thomas
Credentials MS, MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2007
Last updated Dec 2nd, 2009 - about 15 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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