Baume, Derek Jay

Baume, Derek Jay is an individual health care provider with primary practice located at 12337 Hancock St 20 , Carmel IN 46032-5885. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Baume, Derek Jay can be contacted via phone (317) 706-6744.

Contact Information

Primary practice address
12337 Hancock St 20 Carmel IN 46032-5885
Phone: (317) 706-6744
Fax: (317) 706-6700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20042084A Indiana

Profile Details

NPI number 1669539722
LBN Legal business name Baume, Derek Jay
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Nov 26th, 2015 - 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 1669539722 NPPES
Indiana Other IN1231 MEDICARE GROUP
Indiana MEDICAID 201178980A MEDICARE GROUP
Indiana Other IN1231001 MEDICARE GROUP
Indiana MEDICAID 201163980 MEDICARE GROUP

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