Baker, Timothy J

Baker, Timothy J is an sole proprietor health care provider with primary practice located at 15239 Portico Ln , Fontana CA 92336-1021. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Baker, Timothy J can be contacted via phone (909) 740-4114.

Contact Information

Primary practice address
15239 Portico Ln Fontana CA 92336-1021
Phone: (909) 740-4114
Fax: (909) 591-8343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X NONE

Profile Details

NPI number 1508169988
LBN Legal business name Baker, Timothy J
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2010
Last updated Dec 7th, 2010 - about 15 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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