Baca, Samantha

Baca, Samantha is an individual health care provider with primary practice located at 105 Bertha Rd Ste B , Taos NM 87571-7148. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Baca, Samantha can be contacted via phone (575) 758-4297.

Contact Information

Primary practice address
105 Bertha Rd Ste B Taos NM 87571-7148
Phone: (575) 758-4297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SWB-2023-0172 New Mexico

Profile Details

NPI number 1134847973
LBN Legal business name Baca, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2022
Last updated Sep 25th, 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.

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