Baker, Mindy Lynn
Baker, Mindy Lynn is an sole proprietor health care provider with primary practice located at 898 Abigail Ct , Ammon ID 83406-3500. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Baker, Mindy Lynn can be contacted via phone (208) 206-7840.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Idaho |
Profile Details
| NPI number | 1629717376 |
|---|---|
| LBN Legal business name | Baker, Mindy Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2022 |
| Last updated | Jun 1st, 2022 - about 3 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 | 1629717376 | NPPES |
| Idaho | MEDICAID | 106S00000X |
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