Baker, Thomas

Baker, Thomas is an individual health care provider with primary practice located at 6071 W Outer Dr , Detroit MI 48235-2624. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baker, Thomas can be contacted via phone (952) 442-9770.

Contact Information

Primary practice address
6071 W Outer Dr Detroit MI 48235-2624
Phone: (952) 442-9770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704147166 Michigan

Profile Details

NPI number 1346216744
LBN Legal business name Baker, Thomas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1346216744 NPPES
Michigan Other TB147166 BLUE CROSS OF MI

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