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NPI Code Detail

MEDICARE: JOEL MARIE BAKER PR

MEDICARE: JOEL MARIE BAKER PR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist21-904WV

General Provider Information

NPI Number : 1437806239
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL MARIE BAKER PR
Provider Business Mailing Address
First Line : 1819 WOOD ST
Second Line :
City : WHEELING
State : WV
Zip : 26003-3607
Country : US
Telephone Number : 304-234-3500
Fax Number :
Provider Business Practice Location Address
First Line : 1819 WOOD ST
Second Line :
City : WHEELING
State : WV
Zip : 26003-3607
Country : US
Telephone Number : 304-234-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2022
Last Update Date : 03/30/2022

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Directions to “ JOEL MARIE BAKER PR” Practice Location

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