Baker, William R
Baker, William R is an individual health care provider with primary practice located at 1903 S 6Th St , Brainerd MN 56401-4599. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Baker, William R can be contacted via phone (218) 829-1728.Contact Information
Primary practice address
1903 S 6Th St
Brainerd MN 56401-4599
Phone: (218) 829-1728
Fax: (218) 829-1729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D10467 | Minnesota |
Profile Details
| NPI number | 1023098993 |
|---|---|
| LBN Legal business name | Baker, William R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jan 13th, 2011 - about 13 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 | 1023098993 | NPPES |
| Minnesota | Other | 15169 | DORAL DENTAL |
| Minnesota | Other | 86-00410 | DORAL DENTAL |
| Minnesota | Other | 86-24260 | DORAL DENTAL |
| Minnesota | Other | 150057 | DORAL DENTAL |
| Minnesota | Other | 86-24258 | DORAL DENTAL |
| Minnesota | Other | 86-24259 | DORAL DENTAL |
| Minnesota | Other | 190006049 | DORAL DENTAL |
| Minnesota | MEDICAID | 537022100 | DORAL DENTAL |
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