Individual provider · NPI-1
Nickolas Scott Baker, PA-C
Physician Assistant · Birmingham, AL
NPI number1821682303
StatusActive
Last updated in NPPESJun 28, 2023
Details
- NPI
- 1821682303
- Entity type
- Individual (NPI-1)
- Name
- Nickolas Scott Baker
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2021
- Certification date
- Mar 1, 2021
- Last updated
- Jun 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.1718 | AL | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | PA.1718 | AL |
Practice location
Uab Hospital 619 19th Street SBirmingham, AL 35249-0001
Phone 205-975-7516
Mailing address
801 Montclair Rd Apt 4213Birmingham, AL 35213-2005
Other practice locations
500 22nd St S
Birmingham, AL 35233-3110
Birmingham, AL 35233-3110
Phone 205-934-3411
500 22nd St S
Birmingham, AL 35233-3110
Birmingham, AL 35233-3110
Phone 205-934-3411
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