De Baca, Monica E.

De Baca, Monica E. is an individual health care provider with primary practice located at 4121 48Th Ave S , Seattle WA 98118-1225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. De Baca, Monica E. can be contacted via phone (206) 218-7788.

Contact Information

Primary practice address
4121 48Th Ave S Seattle WA 98118-1225
Phone: (206) 218-7788
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD423639 Pennsylvania

Profile Details

NPI number 1861443418
LBN Legal business name De Baca, Monica E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861443418 NPPES
Minnesota MEDICAID 399365500

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