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Contact Information

JILLIAN M BACA, SLPA
2404 DESPERADO DR
TRINIDAD, CO81082-3966
 Phone: 719-680-2015
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JILLIAN M BACA · (Female)

NPI Number 1144998527
Status Active
Credentials SLPA
Entity Individual
Enumeration date 09/01/2021
Last updated 09/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 358258
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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