Baronsky, Keith Schade
Baronsky, Keith Schade is an individual health care provider with primary practice located at 60 Mdg/Sgow 101 Bodin Cir, Travis Afb CA 94535-1800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baronsky, Keith Schade can be contacted via phone (707) 423-5168.Contact Information
Primary practice address
60 Mdg/Sgow 101 Bodin Cir
Travis Afb CA 94535-1800
Phone: (707) 423-5168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C000673 | North Carolina |
Profile Details
| NPI number | 1679689178 |
|---|---|
| LBN Legal business name | Baronsky, Keith Schade |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Dec 4th, 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 | 1679689178 | NPPES |
| Other | 13261 | BCBS | |
| MEDICAID | 6002060 | BCBS |
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