Baraga, David John
Baraga, David John is an individual health care provider with primary practice located at 1321 13Th St N , Saint Cloud MN 56303-2613. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Baraga, David John can be contacted via phone (320) 252-5010.Contact Information
Primary practice address
1321 13Th St N
Saint Cloud MN 56303-2613
Phone: (320) 252-5010
Fax: (320) 203-1855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP0452 | Minnesota |
Profile Details
| NPI number | 1679519789 |
|---|---|
| LBN Legal business name | Baraga, David John |
| Credentials | PH D LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jan 27th, 2010 - about 15 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 | 1679519789 | NPPES |
| Other | 54059BA | BCBS | |
| Other | HP25561 | BCBS | |
| Other | 110583C851 | BCBS | |
| Other | 6120067 | BCBS | |
| Other | 922241022553 | BCBS | |
| Other | 16933 | BCBS | |
| MEDICAID | 345547500 | BCBS |
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