Baker, Wendy
Baker, Wendy is an individual health care provider with primary practice located at 800 S 94Th St , Edwardsville KS 66111-1568. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Baker, Wendy can be contacted via phone (913) 406-9391.Contact Information
Primary practice address
800 S 94Th St
Edwardsville KS 66111-1568
Phone: (913) 406-9391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1720455421 |
|---|---|
| LBN Legal business name | Baker, Wendy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2015 |
| Last updated | Aug 28th, 2015 - about 10 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 | 1720455421 | NPPES |
| Kansas | MEDICAID | 201112020A |
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