DALTON D BAKER, Family KIRKSVILLE, MO

Contact Information

DALTON D BAKER

512 N NEW ST
KIRKSVILLE, MO 63501-3167

Phone: 660-988-4723
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Registered Nurse	163W00000X

Indicates primary specialty

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NPI Profile & details for DALTON D BAKER · (Male)

NPI Number	`1326552191`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/30/2017
Last updated	09/09/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	IA License # A149860 MO License # 2013022156
Hospital affiliation(s)	NORTHEAST REGIONAL MEDICAL CENTER - (Acute Care) 315 S OSTEOPATHY KIRKSVILLE, MO 63501

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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