Baucom, Alexia A
Baucom, Alexia A is an sole proprietor health care provider with primary practice located at 40925 County Center Dr Ste 100&200 , Temecula CA 92591-6054. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Baucom, Alexia A can be contacted via phone (951) 600-6360.Contact Information
Primary practice address
40925 County Center Dr Ste 100&200
Temecula CA 92591-6054
Phone: (951) 600-6360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | MPSS-HAVGOE | California |
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1205532355 |
|---|---|
| LBN Legal business name | Baucom, Alexia A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2023 |
| Last updated | Jan 10th, 2024 - about last year |
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.
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