Baine, Jessica

Baine, Jessica is an individual health care provider with primary practice located at 54 North St , Willimantic CT 06226-2528. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baine, Jessica can be contacted via phone (860) 450-7122.

Contact Information

Primary practice address
54 North St Willimantic CT 06226-2528
Phone: (860) 450-7122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 58.010487 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10487 Connecticut

Profile Details

NPI number 1164890232
LBN Legal business name Baine, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2015
Last updated Jul 5th, 2022 - about 4 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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