William Baker
Individual provider Active NPI Driver · Saint Cloud, MN
NPI 1346603883 · NPPES record last updated Apr 1, 2016
Key facts
- NPI
- 1346603883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 75188 (MN)
- Practice address
- 630 30TH Ave N
Saint Cloud, MN 56303-3136 - Phone
- (320) 240-2999
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75188 | MN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Transportation Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 75188 | MN | Yes |
Addresses
Primary practice location
630 30TH Ave N
Saint Cloud, MN 56303-3136
Mailing address
630 30TH Ave N
Saint Cloud, MN 56303-3136
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.