John Robert Baker, Builder/Remodeler
Contractor, Home Modifications in Edmond, OK. Individual provider (NPI-1).
NPI number1487431508
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1487431508
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Robert Baker
- Credential
- Builder/Remodeler
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2023
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171WH0202X | Contractor, Home Modifications | – | – | Yes |
Practice location
605 Nw 160th StEdmond, OK 73013-1025
Phone 405-520-4598
Mailing address
605 Nw 160th StEdmond, OK 73013-1025
Phone 405-520-4598
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