Baca, Brenda Audrey
Baca, Brenda Audrey is an sole proprietor health care provider with primary practice located at 321 W. Juniper St , Gilbert AZ 85233. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Baca, Brenda Audrey can be contacted via phone (480) 892-2805.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLPS5146 | Arizona |
Profile Details
| NPI number | 1346305299 |
|---|---|
| LBN Legal business name | Baca, Brenda Audrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1346305299 | NPPES |
| Arizona | MEDICAID | 638710 |
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