Baker, Tanya Christine

Baker, Tanya Christine is an sole proprietor health care provider with primary practice located at 615 State Route 96 , Phelps NY 14532-9532. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Baker, Tanya Christine can be contacted via phone (315) 548-8079.

Contact Information

Primary practice address
615 State Route 96 Phelps NY 14532-9532
Phone: (315) 548-8079
Fax: (315) 548-8079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 218485-1 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 103066-1 New York

Profile Details

NPI number 1992930184
LBN Legal business name Baker, Tanya Christine
Credentials LMSW, LPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2009
Last updated Mar 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992930184 NPPES
New York MEDICAID 02814097

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