| Bill Baker Msw Pa | |
|
1219 4th St S Nampa ID 83651-4222 | |
| (208) 880-4160 | |
| (208) 461-3303 |
| Full Name | Bill Baker Msw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 1219 4th St S, Nampa, Idaho |
| Authorized Official Name and Position | Bill Baker (PRESIDENT) |
| Authorized Official Contact | 2088804160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Baker Msw Pa 1219 4th St S Nampa ID 83651-4222 Ph: (208) 880-4160 | Bill Baker Msw Pa 1219 4th St S Nampa ID 83651-4222 Ph: (208) 880-4160 |
| NPI Number | 1831210277 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 02/24/2012 |
| Medicare PECOS PAC ID | 8426095373 |
|---|---|
| Medicare Enrollment ID | O20050412000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831210277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 489 (Idaho) | Primary |
| Provider Name | Billy D Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831264852 PECOS PAC ID: 4486691334 Enrollment ID: I20050421000904 |
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