Clark, Gail Joan Nicole Baker

Clark, Gail Joan Nicole Baker is an individual health care provider with primary practice located at 5034 Royal Ave , Harrisburg PA 17109-3119. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Gail Joan Nicole Baker can be contacted via phone (717) 517-1257.

Contact Information

Primary practice address
5034 Royal Ave Harrisburg PA 17109-3119
Phone: (717) 517-1257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 101177 Nevada
Dental Providers / Dental Hygienist 124Q00000X DH070530 Pennsylvania

Profile Details

NPI number 1972945178
LBN Legal business name Clark, Gail Joan Nicole Baker
Credentials BSBA, RDH, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2013
Last updated Aug 17th, 2021 - about 4 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 1972945178 NPPES
Pennsylvania Other 18849006 NATIONAL INSURANCE PRODUCER (NPN)
Pennsylvania Other 858136 NATIONAL INSURANCE PRODUCER (NPN)
Pennsylvania Other 101177 NATIONAL INSURANCE PRODUCER (NPN)
Pennsylvania Other DHA000615 NATIONAL INSURANCE PRODUCER (NPN)
Pennsylvania Other DH070530 NATIONAL INSURANCE PRODUCER (NPN)

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