Baker Family Practice
LBN: Wallace C Baker
Baker Family Practice is an health care organization with primary practice located at 1880 John Adams Pkwy , Idaho Falls ID 83401-4315. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Wallace C Baker can be contacted via phone (208) 524-6633, or through Baker, Wallace C. via phone (208) 524-6633.
Contact Information
Primary practice address
1880 John Adams Pkwy
Idaho Falls ID 83401-4315
Phone: (208) 524-6633
Fax: (208) 524-9952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M6919 | Idaho |
Profile Details
| NPI number | 1134140148 |
|---|---|
| LBN Legal business name | Wallace C Baker |
| DBA Doing business as | Baker Family Practice |
| Authorized official | Baker, Wallace C. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jul 19th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134140148 | NPPES |
| Idaho | Other | 1083696967 | IND NPI NUMBER |
| Idaho | MEDICAID | 807937700 | IND NPI NUMBER |
| Idaho | Other | D1614 | IND NPI NUMBER |
| Idaho | Other | 8K123 | IND NPI NUMBER |
| Idaho | Other | 000010027582 | IND NPI NUMBER |
| Idaho | Other | 72132 | IND NPI NUMBER |
| Idaho | Other | 000010001770 | IND NPI NUMBER |
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