Beau Baker
Individual provider Active NPI Rehabilitation Practitioner · Minden, NV
NPI 1912290271 · NPPES record last updated May 19, 2011
Key facts
- NPI
- 1912290271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 2560 Business Pkwy Ste B
Minden, NV 89423-8961 - Phone
- (775) 267-9411
- NPI assigned
- May 19, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
2560 Business Pkwy Ste B
Minden, NV 89423-8961
Mailing address
2560 Business Pkwy Ste B
Minden, NV 89423-8961
Phone (775) 267-9411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Medicaid | NV |
Other providers in Minden, NV
- Cassandra Ashbaugh
- Auralcare Hearing Centers of America, LLC
- Wendy Auslen Schopf
- Mark Avery
- Alfonso Baez
- Darrell Lee Banta
- Stephen Barbetti
- Joshua Barr
- Susan Marie Barry
- Basecamp Wellness Management Group, LLC
All providers in Minden, NV · Rehabilitation Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2011. 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.