Baker, Teresa

Baker, Teresa is an individual health care provider with primary practice located at 3515 E Fletcher Ave Mdc-14, Tampa FL 33613-4702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Baker, Teresa can be contacted via phone (813) 974-8900.

Contact Information

Primary practice address
3515 E Fletcher Ave Mdc-14 Tampa FL 33613-4702
Phone: (813) 974-8900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME123931 Florida

Profile Details

NPI number 1497054175
LBN Legal business name Baker, Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Mar 31st, 2021 - about 3 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 1497054175 NPPES
Florida Other BHFQE BLUE CROSS BLUE SHIELD
Florida MEDICAID 016602200 BLUE CROSS BLUE SHIELD

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