Provider Demographics
NPI:1578341293
Name:BAKER, SHAYLA JANE
Entity Type:Individual
Prefix:
First Name:SHAYLA
Middle Name:JANE
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 BARNHILL RD NE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-8830
Mailing Address - Country:US
Mailing Address - Phone:330-440-3989
Mailing Address - Fax:
Practice Address - Street 1:124 BARNHILL RD NE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-8830
Practice Address - Country:US
Practice Address - Phone:330-440-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant