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Contact Information

JONATHAN G BAKER, MD
984 WEST BROADWAY
SUITE 4
JACKSON, WY83001-0000
 Phone: 307-734-1800
 Fax: 307-734-5012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JONATHAN G BAKER · (Male)

NPI Number 1447233754
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2005
Last updated 08/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A55560
  • WY License # 8097A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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