Baker, Terry
Baker, Terry is an sole proprietor health care provider with primary practice located at 3200 Channing Way A-105, Idaho Falls ID 83404-7546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Baker, Terry can be contacted via phone (208) 552-9530.Contact Information
Primary practice address
3200 Channing Way A-105
Idaho Falls ID 83404-7546
Phone: (208) 552-9530
Fax: (208) 522-6262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | M8221 | Idaho |
Profile Details
| NPI number | 1568406148 |
|---|---|
| LBN Legal business name | Baker, Terry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Sep 6th, 2007 - about 17 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 | 1568406148 | NPPES |
| Idaho | MEDICAID | 805984700 |
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