Baxter, Donna Marie
Baxter, Donna Marie is an individual health care provider with primary practice located at 1427 Genesee St , Utica NY 13501-4343. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baxter, Donna Marie can be contacted via phone (315) 738-1428.Contact Information
Primary practice address
1427 Genesee St
Utica NY 13501-4343
Phone: (315) 738-1428
Fax: (315) 738-1461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R047084-1 | New York |
Profile Details
| NPI number | 1720030505 |
|---|---|
| LBN Legal business name | Baxter, Donna Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Sep 18th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720030505 | NPPES |
| New York | MEDICAID | 01039156 |
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