Individual
JACOB JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 345-2700
(985) 230-1368
Mailing address
14 MEDICAL PARK, STE 350, EMERGENCY MEDICINE DEPARTMENT, COLUMBIA, SC 29203
(803) 434-3790
(803) 434-3946
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
333015
LA
207P00000X
Emergency Medicine Physician
Primary
LL51124
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821519976
NPI NUMBER
LA
Enumeration date
06/29/2017
Last updated
10/04/2022
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