Baggett, Sandra Lee

Baggett, Sandra Lee is an sole proprietor health care provider with primary practice located at 30290 Rancho Viejo Rd , San Juan Capistrano CA 92675-1577. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Baggett, Sandra Lee can be contacted via phone (949) 558-4606.

Contact Information

Primary practice address
30290 Rancho Viejo Rd San Juan Capistrano CA 92675-1577
Phone: (949) 558-4606
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1371741119 California

Profile Details

NPI number 1184212672
LBN Legal business name Baggett, Sandra Lee
Credentials RADT-1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2021
Last updated Jan 9th, 2021 - about 5 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 1184212672 NPPES
California Other 101YA0400X TAXPAYER

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