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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