Baker, Sandra Caroline

Baker, Sandra Caroline is an individual health care provider with primary practice located at 2625 N Weil St , Milwaukee WI 53212-3060. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Baker, Sandra Caroline can be contacted via phone (414) 962-1200.

Contact Information

Primary practice address
2625 N Weil St Milwaukee WI 53212-3060
Phone: (414) 962-1200
Fax: (414) 962-2305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 12129132 Wisconsin

Profile Details

NPI number 1528247053
LBN Legal business name Baker, Sandra Caroline
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Aug 22nd, 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 1528247053 NPPES
Wisconsin MEDICAID 39388400
Wisconsin Other 12129132

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