Individual
JASON MATTHEW BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
403 2ND AVE, COLLINS, IA 50055-7747
(641) 385-2088
Mailing address
403 2ND AVE, COLLINS, IA 50055-7747
(641) 385-2088
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PM-99-506-11
IA
164W00000X
Licensed Practical Nurse
P51719
IA
Other
Enumeration date
07/27/2013
Last updated
07/27/2013
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