Baker, Sam
Baker, Sam is an sole proprietor health care provider with primary practice located at 6535 Springfield Mall Space # 11045, Springfield VA 22150-1714. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baker, Sam can be contacted via phone (703) 971-4739.Contact Information
Primary practice address
6535 Springfield Mall Space # 11045
Springfield VA 22150-1714
Phone: (703) 971-4739
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618002372 | Virginia |
Profile Details
| NPI number | 1992887798 |
|---|---|
| LBN Legal business name | Baker, Sam |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | May 28th, 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.
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