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Contact Information

MICKEY BAUM
460 N MAGNOLIA AVE
EL CAJON, CA92020-3610
 Phone: 619-933-0192
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

163WR0400X
Indicates primary specialty

NPI Profile & details for MICKEY BAUM · (Male)

NPI Number 1326877812
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2024
Last updated 07/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95290204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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