Provider Demographics
NPI:1063783884
Name:BAKER, ROBERT JAMES JR
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JAMES
Last Name:BAKER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1744 NC HIGHWAY 5
Mailing Address - Street 2:SUITE A
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-8650
Mailing Address - Country:US
Mailing Address - Phone:910-295-2958
Mailing Address - Fax:910-295-1316
Practice Address - Street 1:1744 NC HIGHWAY 5
Practice Address - Street 2:SUITE A
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-8650
Practice Address - Country:US
Practice Address - Phone:910-295-2958
Practice Address - Fax:910-295-1316
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC789237700000X
SC374237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist