Healthcare Provider Details

I. General information

NPI: 1558179572
Provider Name (Legal Business Name): BAKER TRANSPORTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 12/23/2024
Certification Date: 12/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 EDGEVIEW WAY APT 714
KNOXVILLE TN
37918-1776
US

IV. Provider business mailing address

2000 EDGEVIEW WAY APT 714
KNOXVILLE TN
37918-1776
US

V. Phone/Fax

Practice location:
  • Phone: 813-893-1789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL ALANNA POTTS
Title or Position: OWNER
Credential:
Phone: 813-893-1789