Baker, Sally Jo

Baker, Sally Jo is an individual health care provider with primary practice located at 2900 First Avenue , Huntington WV 25702-1241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Baker, Sally Jo can be contacted via phone (304) 526-1031.

Contact Information

Primary practice address
2900 First Avenue Huntington WV 25702-1241
Phone: (304) 526-1031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 43588 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 04994 Ohio

Profile Details

NPI number 1679645709
LBN Legal business name Baker, Sally Jo
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Sep 23rd, 2011 - about 14 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 1679645709 NPPES
West Virginia Other 55-0696369-00 WV WORKERS COMP #
West Virginia Other 001710226 WV WORKERS COMP #
West Virginia MEDICAID 0068000000 WV WORKERS COMP #

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