Baucum, Chantel

Baucum, Chantel is an sole proprietor health care provider with primary practice located at 1905 Sunnyside Ave , Hopewell VA 23860-7124. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Baucum, Chantel can be contacted via phone (434) 250-4591.

Contact Information

Primary practice address
1905 Sunnyside Ave Hopewell VA 23860-7124
Phone: (434) 250-4591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1053037945
LBN Legal business name Baucum, Chantel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2022
Last updated Oct 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053037945 NPPES
Virginia MEDICAID 920759686

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