Baula, Victoria Mercado

Baula, Victoria Mercado is an individual health care provider with primary practice located at 596 Westport Rd Suite No 101, Elizabethtown KY 42701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Baula, Victoria Mercado can be contacted via phone (270) 769-6888.

Contact Information

Primary practice address
596 Westport Rd Suite No 101 Elizabethtown KY 42701
Fax: (270) 769-9199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32555 Kentucky

Profile Details

NPI number 1841361706
LBN Legal business name Baula, Victoria Mercado
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 9th, 2007 - about 17 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 1841361706 NPPES
Kentucky Other 1075484 PASSPORT
Kentucky MEDICAID 64325558 PASSPORT

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