Baum, Steven Keith
Baum, Steven Keith is an sole proprietor health care provider with primary practice located at 3620 Wyoming Blvd Ne Ste 112 , Albuquerque NM 87111-3288. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Baum, Steven Keith can be contacted via phone (505) 918-2750.Contact Information
Primary practice address
3620 Wyoming Blvd Ne Ste 112
Albuquerque NM 87111-3288
Phone: (505) 918-2750
Fax: (505) 214-5897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | MI 5686 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0949NEWMEXICO | New Mexico |
Profile Details
| NPI number | 1255433421 |
|---|---|
| LBN Legal business name | Baum, Steven Keith |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Dec 8th, 2019 - about 6 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 | 1255433421 | NPPES |
| New Mexico | Other | 11271575 | CAQH |
| New Mexico | Other | NMA100027 | CAQH |
| New Mexico | MEDICAID | 02886006 | CAQH |
| New Mexico | Other | P00960461 | CAQH |
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