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Organization
BAKER FOOT SOLUTIONS CORP
Active
Organization
BAKER FOOT SOLUTIONS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BAKER DPM (PRESIDENT DIRECTOR)
(317) 863-2556
Entity
Organization
Contact information
Practice address
1622 N MADISON AVE, ANDERSON, IN 46011-2130
(765) 641-0001
(765) 641-0003
Mailing address
PO BOX 330, FORTVILLE, IN 46040-0330
(317) 863-2556
(317) 203-0420
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360213
BLUE CROSS
—
05
—
200513150A
—
IN
05
—
200513150C
—
IN
05
—
200513150D
—
IN
05
—
200513150E
—
IN
05
—
200513150F
—
IN
05
—
200513150G
—
IN
01
—
DD2888
RR MEDICARE
—
Enumeration date
07/02/2006
Last updated
07/05/2012
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