Baker, Susan Jean
Baker, Susan Jean is an individual health care provider with primary practice located at 1705 St Mary Street , Knoxville TN 37917. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Baker, Susan Jean can be contacted via phone (865) 370-2125.Contact Information
Primary practice address
1705 St Mary Street
Knoxville TN 37917
Phone: (865) 370-2125
Fax: (865) 370-2160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 01-02-05 | Georgia |
Profile Details
| NPI number | 1457456956 |
|---|---|
| LBN Legal business name | Baker, Susan Jean |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 10th, 2023 - about last year |
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 | 1457456956 | NPPES |
| Other | 03-0541367 | T.I.N. |
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