Provider Demographics
NPI:1538231923
Name:BAKER, JESSE H (CST)
Entity type:Individual
Prefix:MR
First Name:JESSE
Middle Name:H
Last Name:BAKER
Suffix:
Gender:M
Credentials:CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6324 W BURGUNDY DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3708
Mailing Address - Country:US
Mailing Address - Phone:303-309-3374
Mailing Address - Fax:303-309-3373
Practice Address - Street 1:6324 W BURGUNDY DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3708
Practice Address - Country:US
Practice Address - Phone:303-794-9127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine