Jason Baker
Individual provider Active NPI Counselor · Valliant, OK
NPI 1376757484 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376757484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 300 N. Dalton Avenue
Valliant, OK 74764 - Phone
- (580) 933-7031
- Fax
- (580) 933-7034
- NPI assigned
- May 9, 2007
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valliant House, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
300 N. Dalton Avenue
Valliant, OK 74764
Mailing address
PO Box 673
Valliant, OK 74764-0673
Other providers in Valliant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.