Individual
MR. STEPHEN RANDALL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.C. LIC #788
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
698
SC
237700000X
Hearing Instrument Specialist
788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
698
DHEC STATE LICENSE
SC
01
—
778
STATE LICENSE
NC
Enumeration date
02/07/2012
Last updated
08/10/2021
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