Timothy Darrell Baker
Driver in Ravenna, OH. Individual provider (NPI-1).
NPI number1760618151
StatusActive
Last updated in NPPESMay 31, 2009
Details
- NPI
- 1760618151
- Entity type
- Individual (NPI-1)
- Name
- Timothy Darrell Baker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2009
- Last updated
- May 31, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | Q124289 | OH | Yes |
Practice location
9050 Gilbert RdRavenna, OH 44266-9216
Phone 330-219-3916
Mailing address
9050 Gilbert RdRavenna, OH 44266-9216
Phone 330-219-3916
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All 8 Driver providers in Ravenna · All 1,333 providers in Ravenna
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