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MR. BENJAMIN T BAKER REGISTERED NURSE
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1811184856
Individual Registrant:MR. BENJAMIN T BAKER REGISTERED NURSE
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1408 19TH AVE FAIRBANKS, AK 99701-5903 US
Tel: 907-451-6682 Fax: --
Tel: 907-451-6682 Fax: --
Contact information for business:
1408 19TH AVE FAIRBANKS, AK 99701-5903 US
Tel: 907-451-6682 Fax: --
Tel: 907-451-6682 Fax: --
Registration Information:
NPI: 1811184856
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | AK | 25988 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
