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Contact Information

MICHAEL R BAKER, PA
11704 W CENTER RD
STE 200
OMAHA, NE68144-4375
 Phone: 402-691-0500
 Fax: 402-505-6249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL R BAKER · (Male)

NPI Number 1659346047
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/21/2006
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 196
  • IA Other R80756 IA BCBS PROVIDER NMBR
  • NE Other 196 NE PA LICENSE NMBR
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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