Individual
ERIK BRENT BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(865) 882-4112
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11863
TN
367500000X
Certified Registered Nurse Anesthetist
23882
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I433144
MEDICARE PTAN
TN
Enumeration date
06/30/2006
Last updated
02/09/2024
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