Individual
MR. JOSHUA STEVEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
597 LIBERTY ST, WEST MILFORD, WV 26451-6801
(304) 745-4568
(304) 326-3700
Mailing address
597 LIBERTY ST, WEST MILFORD, WV 26451-6801
(304) 745-4568
(304) 326-3700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
468
WV
363A00000X
Physician Assistant
862
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001832689
MOUNTAIN STATE BCBS
WV
01
—
P00414442
RAILROAD MEDICARE
WV
01
—
WV862
HEALTH PLAN
WV
Enumeration date
11/11/2005
Last updated
03/07/2023
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