Individual
GENE BENJAMIN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2137 LAKESIDE DR, STE 100, LYNCHBURG, VA 24501-6806
(434) 385-4184
(434) 385-8616
Mailing address
2137 LAKESIDE DR, STE 100, LYNCHBURG, VA 24501-6806
(434) 385-4184
(434) 385-8616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002119
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008344C68
MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
—
05
—
010179301
—
VA
01
—
1528155892
CVFP CORPORATR NPI
VA
05
—
1528155892
—
VA
01
—
1972680049
CVFP SITE NPI
VA
01
—
C08183
MEDICARE GROUP NUMBER PRIOR TO 09/01/07
—
01
—
CA2436
MEDICARE RAILROAD GROUP NUMBER
—
01
—
CO3658
MEDICARE GROUP PTAN
VA
01
—
P00370488
MEDICARE RAILROAD PROVIDER NUMBER
—
Enumeration date
11/28/2005
Last updated
08/14/2013
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