Provider Demographics
NPI:1801934229
Name:BAKER, ROBERT K (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:BAKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2222 JAMES ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4152
Mailing Address - Country:US
Mailing Address - Phone:360-733-5688
Mailing Address - Fax:360-733-5766
Practice Address - Street 1:2222 JAMES ST
Practice Address - Street 2:SUITE C
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4152
Practice Address - Country:US
Practice Address - Phone:360-733-5688
Practice Address - Fax:360-733-5766
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2027704Medicaid
WAT03128Medicare UPIN