Baca, Beverly
Baca, Beverly is an sole proprietor health care provider with primary practice located at 900 Marshall St , Truth Or Consequences NM 87901-6600. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Baca, Beverly can be contacted via phone (575) 288-5773.Contact Information
Primary practice address
900 Marshall St
Truth Or Consequences NM 87901-6600
Phone: (575) 288-5773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | New Mexico |
Profile Details
| NPI number | 1528729027 |
|---|---|
| LBN Legal business name | Baca, Beverly |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2022 |
| Last updated | Jan 6th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528729027 | NPPES |
| New Mexico | Other | 053210066 | DRIVER LICENSE |
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