Individual
MR. MARTIN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2500 CAMPUS BOX, ELON UNIVERSITY AT DEPARTMENT, ELON, NC 27244
(336) 278-6800
(336) 278-6767
Mailing address
106 ARBOR DR, ELON, NC 27244-9100
(336) 278-6800
(336) 278-6767
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
NC0336
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC0336
STATE LICENSE
NC
Enumeration date
09/26/2008
Last updated
09/26/2008
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