Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-004676-L | PA |
NPI | 1003854142 |
---|---|
Provider Name | Dr. Joseph Louis Baker |
First Address | Limerick, PA 19468-1718 |
Second Address | Limerick, PA 19468-1718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 12/10/2011 |