Virgil Wayne Baker, BC-HIS
Individual provider Active NPI Hearing Instrument Specialist · Bunnell, FL
NPI 1366939217 · NPPES record last updated Apr 17, 2018
Key facts
- NPI
- 1366939217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- AS2907 (FL)
- Practice address
- 4750 E. Moody Blvd
Suite # 105
Bunnell, FL 32110-7710 - Phone
- (386) 263-2833
- Fax
- (386) 313-5134
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| AS2907 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetie Peetie LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS2907 | FL | Yes |
Addresses
Primary practice location
4750 E. Moody Blvd
Suite # 105
Bunnell, FL 32110-7710
Mailing address
4750 E. Moody Blvd
Suite # 105
Bunnell, FL 32110-7710
Phone (386) 263-2833
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- Jamie B Bauroth
- Bee Well Health, LLC
- Devon Beneby
- Monique M. Berces-Mardenly
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All providers in Bunnell, FL · Hearing Instrument Specialist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2018. 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.