Baker, Shukairo M.
Baker, Shukairo M. is an sole proprietor health care provider with primary practice located at 1574 Union Rd Ste B , Gastonia NC 28054-5634. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Baker, Shukairo M. can be contacted via phone (704) 286-8446.Contact Information
Primary practice address
1574 Union Rd Ste B
Gastonia NC 28054-5634
Phone: (704) 286-8446
Fax: (659) 223-0837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C008389 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C008389 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11094 | South Carolina |
| Nursing Service Providers / Registered Nurse | 163W00000X | 268707 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 13998789-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 13998789-8900 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 5020242 | North Carolina |
Profile Details
| NPI number | 1659666444 |
|---|---|
| LBN Legal business name | Baker, Shukairo M. |
| Credentials | APRN, PMHNP-BC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2011 |
| Last updated | Jul 16th, 2024 - about 2 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 | 1659666444 | NPPES |
| South Carolina | Other | Q554550281 | PTAN |
| South Carolina | MEDICAID | 1659666444 | PTAN |
| South Carolina | MEDICAID | SW1253 | PTAN |
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