Baker, Stacy
Baker, Stacy is an individual health care provider with primary practice located at 735 Cherry Rd , Rock Hill SC 29732-3121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Baker, Stacy can be contacted via phone (803) 818-3932.Contact Information
Primary practice address
735 Cherry Rd
Rock Hill SC 29732-3121
Phone: (803) 818-3932
Fax: (844) 729-6584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2012-01201 | North Carolina |
Profile Details
| NPI number | 1528297611 |
|---|---|
| LBN Legal business name | Baker, Stacy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2009 |
| Last updated | Jan 30th, 2023 - 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 | 1528297611 | NPPES |
| South Carolina | MEDICAID | 317749 | |
| South Carolina | MEDICAID | 5921383 |
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