Provider Demographics
NPI:1376797647
Name:BAKER, RAYMOND EARL
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:EARL
Last Name:BAKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 S BERKELEY BLVD
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-4508
Mailing Address - Country:US
Mailing Address - Phone:910-476-8029
Mailing Address - Fax:919-689-9017
Practice Address - Street 1:122 S BERKELEY BLVD
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4508
Practice Address - Country:US
Practice Address - Phone:910-476-8029
Practice Address - Fax:919-689-9017
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health