Baker, Samuel Sumpter
Baker, Samuel Sumpter is an individual health care provider with primary practice located at 1401 Spanos Court Suite 230, Modesto CA 95355-2816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Baker, Samuel Sumpter can be contacted via phone (209) 521-9661.Contact Information
Primary practice address
1401 Spanos Court Suite 230
Modesto CA 95355-2816
Phone: (209) 521-9661
Fax: (209) 521-9307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G36900 | California |
Profile Details
| NPI number | 1275517070 |
|---|---|
| LBN Legal business name | Baker, Samuel Sumpter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Feb 8th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275517070 | NPPES |
| California | MEDICAID | 1902828841 |
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