Most Relevant Information
Provider Data
| NPI Number: | 1003254509 |
| Provider Name: | JASON MICHAEL BAKER HIS |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: | 2008000181 |
Most Important Dates
| Enumeration Date: | 06/06/2013 |
| Last Updated: | 06/06/2013 |
Provider Practice Location
1306 OLD HIGHWAY 63 S
SUITE B
COLUMBIA
MO
652018404
Practice Location Phone/Fax
| Phone: | 5738754327 |
| Fax: | 5734424502 |
Provider Mailing Location
1306 OLD HIGHWAY 63 S
SUITE B
COLUMBIA
MO
652018404
Provider Mailing Phone/Fax
| Phone: | 5738754327 |
| Fax: | 5734424502 |