Doctor Name: | JEFFREY THAYNE BAKER |
NPI Number: | 1124052949 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 35303 |
Business Practice Address: | 2000 N. Boise Ave. Loveland, CO - 805387282 |
Business Phone Number: | 9706354071 |
Business Fax Number: | 3033067753 |
Mailing Address: | P.o. Box 173817, DENVER |
State: | CO |
Postal Code: | 802178643 |
Phone Number: | 3033067783 |
Fax Number: | 3033067753 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35303 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |