Mari Agnes Baker, HIS
Individual provider Active NPI Hearing Instrument Specialist · Wauwatosa, WI
NPI 1992929756 · NPPES record last updated Oct 27, 2015
Key facts
- NPI
- 1992929756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 1120 (WI)
- Practice address
- 3180 N 124TH St
Wauwatosa, WI 53222-4062 - Phone
- (414) 442-6000
- Fax
- (414) 442-8378
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| HA-1057 | ID | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Southeast Wisconsin Hearing, LLC | Past | Accepting new patients | |
| Accuquest Hearing Center, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA-1057 | ID | |
| Hearing Instrument Specialist | 237700000X | 1120 | WI | Yes |
Addresses
Primary practice location
3180 N 124TH St
Wauwatosa, WI 53222-4062
Mailing address
5200 Washington Ave
Suite 102
Racine, WI 53406-4238
Phone (414) 442-6000
Other providers in Wauwatosa, WI
- Badger Vision Center, LLC
- Meghan P Bahr
- Barbara A. Bahrke
- Joel D. Baisden
- Joshua Mark Baker
- Sara Elizabeth Baker
- Stephen Trent Baker
- Niles Knight Bakke
- Elizabeth Bakos
- Rachel M Balcerzak
All providers in Wauwatosa, WI · Hearing Instrument Specialist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2015. 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.