Baker, Judith Ann
Baker, Judith Ann is an sole proprietor health care provider with primary practice located at 901 W San Mateo Rd Suite #D-4, Santa Fe NM 87505-3981. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baker, Judith Ann can be contacted via phone (505) 946-8155.Contact Information
Primary practice address
901 W San Mateo Rd Suite #D-4
Santa Fe NM 87505-3981
Phone: (505) 946-8155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-05092 | New Mexico |
Profile Details
| NPI number | 1538169610 |
|---|---|
| LBN Legal business name | Baker, Judith Ann |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 19th, 2013 - about 11 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 | 1538169610 | NPPES |
| New Mexico | MEDICAID | 71606556 |
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