Baldwin, Jaqlyn R
Baldwin, Jaqlyn R is an sole proprietor health care provider with primary practice located at 405 N Date St Suite 8, Truth Or Consequences NM 87901-2377. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Baldwin, Jaqlyn R can be contacted via phone (575) 894-7589.Contact Information
Primary practice address
405 N Date St Suite 8
Truth Or Consequences NM 87901-2377
Phone: (575) 894-7589
Fax: (575) 894-7584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | I-08304 | New Mexico |
Profile Details
| NPI number | 1548646581 |
|---|---|
| LBN Legal business name | Baldwin, Jaqlyn R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2015 |
| Last updated | Jul 31st, 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 | 1548646581 | NPPES |
| New Mexico | Other | 358554 | PED LICENSE |
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