Individual
JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16860
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KBC4HO-61388901
BC/BS
MD
01
—
S404-0001
CAREFIRST
MD
Enumeration date
07/25/2006
Last updated
06/01/2023
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