Individual provider · Type 1 NPI
Javon I. Baker Sr., BEP CERTIFICATE
Driver · Round Lake, IL
NPI number
1588315212
Active
Practice location
222 W Forest Ave Apt 306
Round Lake, IL 60073-3541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | B260-4297-8034 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1588315212
Javon I. Baker Sr., BEP CERTIFICATE's National Provider Identifier is 1588315212, issued on Jan 13, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Round Lake, IL. The record was last updated on Jan 13, 2022.