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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 months 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 1659666444 NPPES
South Carolina Other Q554550281 PTAN
South Carolina MEDICAID 1659666444 PTAN
South Carolina MEDICAID SW1253 PTAN

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