Emily Baker
Individual provider Active NPI Specialist · Clarksburg, MD
NPI 1760187264 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1760187264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 13067 Martz St
Clarksburg, MD 20871-4516 - Phone
- (978) 888-4066
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
13067 Martz St
Clarksburg, MD 20871-4516
Mailing address
13067 Martz St
Clarksburg, MD 20871-4516
Phone (978) 888-4066
Other providers in Clarksburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. 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.