Baca, Patricia A
Baca, Patricia A is an individual health care provider with primary practice located at 2301 7Th St Ste A , Las Vegas NM 87701-4966. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Baca, Patricia A can be contacted via phone (505) 454-9611.Contact Information
Primary practice address
2301 7Th St Ste A
Las Vegas NM 87701-4966
Phone: (505) 454-9611
Fax: (505) 454-8079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | New Mexico |
Profile Details
| NPI number | 1902503931 |
|---|---|
| LBN Legal business name | Baca, Patricia A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2023 |
| Last updated | Feb 9th, 2023 - 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 | 1902503931 | NPPES |
| New Mexico | MEDICAID | 83774556 |
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