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Individual

ETHELBERT JACKSON BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4439 STATE ROUTE 159, SUITE 130, CHILLICOTHE, OH 45601-8207
(740) 779-4360
(740) 779-4369
Mailing address
272 HOSPITAL RD STE 6, CHILLICOTHE, OH 45601-9031
(740) 779-4222
(740) 779-4257

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35068644
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
K9019
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0159260
OH
Enumeration date
02/21/2006
Last updated
01/03/2023
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