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Contact Information

ELLIE A BAKER, PA-C
158 E SUNBRIDGE DR
FAYETTEVILLE, AR72703-2830
 Phone: 479-222-0983
 Fax: 361-585-4765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ELLIE A BAKER · (Female)

NPI Number 1962266619
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/12/2024
Last updated 06/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR License # PT2024-014
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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