Provider Demographics
NPI:1225407257
Name:BAKER, STEPHEN JR (RN)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:BAKER
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2522 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:DIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02715-1604
Mailing Address - Country:US
Mailing Address - Phone:508-669-4025
Mailing Address - Fax:
Practice Address - Street 1:2522 COUNTY ST
Practice Address - Street 2:
Practice Address - City:DIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02715-1604
Practice Address - Country:US
Practice Address - Phone:508-669-4025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2303417163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse