Brad Baker is a Professional in Idaho Falls, Idaho. Brad Baker practices all healthcare services and medical treatments related to Professional. The NPI Number for Brad Baker is 1245391549. The last update date is 2007-07-09.
Brad Baker's current location address is 2235 E 25th St Ste 290, Idaho Falls, Idaho. You can contact this provider via phone number 2085520490 and fax number 2085522518. The mailing address for Brad Baker is 2235 E 25th St Ste 290, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Baker |
|---|---|
| Address | 2235 E 25th St Ste 290, Idaho Falls, Idaho |
| Phone Number | 2085520490 |
| Fax Number | 2085522518 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1245391549 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2235 E 25th St Ste 290 |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047595 |
| Phone Number | 2085520490 |
| Fax Number | 2085522518 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LCPC-3192 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806472900 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brad Baker by the Centers for Medicare & Medicaid Services (CMS)?
The Brad Baker has been assigned the NPI (National Provider Identifier) 1245391549. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Brad Baker's facilities are situated?
The facilities of Brad Baker are physically located at the following address: 2235 E 25Th St Ste 290, Idaho Falls, ID, 834047595.
What is Brad Baker's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brad Baker's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
On what date did the Brad Baker receive its 1245391549 assignment from the Centers for Medicare & Medicaid Services?
The Brad Baker was assigned its 1245391549 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date was the information regarding Brad Baker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brad Baker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.