Provider Demographics
NPI:1043538978
Name:ELKINS-BAKER, JUNE R (CADC)
Entity type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:R
Last Name:ELKINS-BAKER
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-2716
Mailing Address - Country:US
Mailing Address - Phone:405-408-7768
Mailing Address - Fax:
Practice Address - Street 1:901 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-2716
Practice Address - Country:US
Practice Address - Phone:405-408-7768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator