Baker, Shan R
Baker, Shan R is an individual health care provider with primary practice located at 1500 East Medical Center Dr 1St Floor Taubman Ctr Recp A, Ann Arbor MI 48109-5312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Baker, Shan R can be contacted via phone (734) 936-8051.Contact Information
Primary practice address
1500 East Medical Center Dr 1St Floor Taubman Ctr Recp A
Ann Arbor MI 48109-5312
Phone: (734) 936-8051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 4301038320 | Michigan |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4301038320 | Michigan |
Profile Details
| NPI number | 1376630137 |
|---|---|
| LBN Legal business name | Baker, Shan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Nov 28th, 2018 - about 6 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 | 1376630137 | NPPES |
| Michigan | MEDICAID | 1267168 |
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