Doctor Name: | DR. JAMES G BAKER |
NPI Number: | 1487690756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 13641 |
Business Practice Address: | 2312 Hikes Lane Louisville, KY - 40218 |
Business Phone Number: | 5024797229 |
Business Fax Number: | 5024790237 |
Mailing Address: | Po Box 950248, LOUISVILLE |
State: | KY |
Postal Code: | 402950248 |
Phone Number: | 5022531035 |
Fax Number: | 5022531037 |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 08/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |