| Patricia Baker LLC | |
|
1813 Brackett Ave Eau Claire WI 54701-5040 | |
| (715) 450-0518 | |
| Not Available |
| Full Name | Patricia Baker LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1813 Brackett Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Patricia Baker (OWNER) |
| Authorized Official Contact | 7154500518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Baker LLC 1813 Brackett Ave Eau Claire WI 54701-5040 Ph: (715) 450-0518 | Patricia Baker LLC 1813 Brackett Ave Eau Claire WI 54701-5040 Ph: (715) 450-0518 |
| NPI Number | 1194530410 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 1850811290 |
|---|---|
| Medicare Enrollment ID | O20250228000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194530410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| Provider Name | Patricia D Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497895924 PECOS PAC ID: 8022451103 Enrollment ID: I20240206000765 |
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