Provider Demographics
NPI:1811943681
Name:BAKER, JOANNA LOUISE (DC)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:LOUISE
Last Name:BAKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 CAMP HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2604
Mailing Address - Country:US
Mailing Address - Phone:412-469-9600
Mailing Address - Fax:412-469-9901
Practice Address - Street 1:305 CAMP HOLLOW RD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2604
Practice Address - Country:US
Practice Address - Phone:412-469-9600
Practice Address - Fax:412-469-9901
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007555L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA769937OtherHIGHMARK
PAU92093Medicare UPIN
PA061328Medicare PIN