Individual
MR. CHANNIN JOSEPH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, MN, CRNA
Contact information
Practice address
21373 STONEBRIDGE CT, DENHAM SPRINGS, LA 70726-7329
(225) 243-5168
(225) 243-5168
Mailing address
21373 STONEBRIDGE CT, DENHAM SPRINGS, LA 70726-7329
(225) 243-5168
(225) 243-5168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN089986
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1642797
—
LA
Enumeration date
04/14/2006
Last updated
12/15/2014
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