Baker, Walter John

Baker, Walter John is an individual health care provider with primary practice located at 32121 Woodward Ave Suite 201, Royal Oak MI 48073-6237. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Baker, Walter John can be contacted via phone (248) 398-2200.

Contact Information

Primary practice address
32121 Woodward Ave Suite 201 Royal Oak MI 48073-6237
Phone: (248) 398-2200
Fax: (248) 398-2280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 003199 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 003199 Michigan

Profile Details

NPI number 1629283304
LBN Legal business name Baker, Walter John
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629283304 NPPES
Michigan Other 680F34869 BCBSM

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