Baca, Marshall G
Baca, Marshall G is an individual health care provider with primary practice located at 2411 Osborne Rd , Carlsbad NM 88220-3265. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Baca, Marshall G can be contacted via phone (505) 885-2188.Contact Information
Primary practice address
2411 Osborne Rd
Carlsbad NM 88220-3265
Phone: (505) 885-2188
Fax: (505) 885-6486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 965 | New Mexico |
Profile Details
| NPI number | 1376520601 |
|---|---|
| LBN Legal business name | Baca, Marshall G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jun 21st, 2021 - about 5 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 | 1376520601 | NPPES |
| New Mexico | MEDICAID | H5181 |
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