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Organization
RALPH LAMONT BAKER
Active
Organization
RALPH LAMONT BAKER
Active
Other names
Ralph Baker's Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH LAMONT BAKER SR. (OWNER)
(704) 636-1850
Entity
Organization
Contact information
Practice address
428 N MAIN ST, SALISBURY, NC 28144-4349
(704) 636-1850
(704) 637-7120
Mailing address
428 N MAIN ST, SALISBURY, NC 28144-4349
(704) 636-1850
(704) 637-7120
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NC
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0425V
BCBS OF NC
NC
01
—
205141300
US DEPT OF LABOR
NC
05
—
7702031
—
NC
01
—
7967497
AETNA
NC
01
—
8209567
MEDICARE COMPLETE UHC HMO
NC
Enumeration date
07/22/2006
Last updated
08/20/2013
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