Bakken, Noelle
Bakken, Noelle is an sole proprietor health care provider with primary practice located at 725 Welch Rd 3Rd Floor, Palo Alto CA 94304-1601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bakken, Noelle can be contacted via phone (650) 497-8643.Contact Information
Primary practice address
725 Welch Rd 3Rd Floor
Palo Alto CA 94304-1601
Phone: (650) 497-8643
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 15600 | California |
Profile Details
| NPI number | 1609248459 |
|---|---|
| LBN Legal business name | Bakken, Noelle |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2015 |
| Last updated | Oct 20th, 2015 - about 9 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 | 1609248459 | NPPES |
| California | MEDICAID | 053305 |
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