Baxendale, James D

Baxendale, James D is an sole proprietor health care provider with primary practice located at 64 Sweet Samantha Ct , Fuquay Varina NC 27526-5054. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Baxendale, James D can be contacted via phone (704) 290-7527.

Contact Information

Primary practice address
64 Sweet Samantha Ct Fuquay Varina NC 27526-5054
Phone: (704) 290-7527
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 10653 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068.0099603 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002890-1 New York

Profile Details

NPI number 1427162676
LBN Legal business name Baxendale, James D
Credentials PH.D., CTS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Oct 7th, 2014 - about 11 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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