Baca, Jerrica Shaylene

Baca, Jerrica Shaylene is an individual health care provider with primary practice located at 41521 W. 11 Mile Rd Nobi , Nobi MI 48375. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Baca, Jerrica Shaylene can be contacted via phone (505) 570-9135.

Contact Information

Primary practice address
41521 W. 11 Mile Rd Nobi Nobi MI 48375
Phone: (505) 570-9135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1871035899
LBN Legal business name Baca, Jerrica Shaylene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2016
Last updated Nov 8th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871035899 NPPES
New Mexico MEDICAID 3735825652

Popular Providers