Baker, Sally Brooks
Baker, Sally Brooks is an sole proprietor health care provider with primary practice located at 300 Singleton Ridge Rd , Conway SC 29526-9142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Baker, Sally Brooks can be contacted via phone (843) 347-8103.Contact Information
Primary practice address
300 Singleton Ridge Rd
Conway SC 29526-9142
Phone: (843) 347-8103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 59842 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 84920 | South Carolina |
Profile Details
| NPI number | 1396196754 |
|---|---|
| LBN Legal business name | Baker, Sally Brooks |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2016 |
| Last updated | Apr 23rd, 2021 - about 4 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 | 1396196754 | NPPES |
| Virginia | Other | 207Q00000X | FAMILY MEDICINE |
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