Abeyta, Dominique

Abeyta, Dominique is an individual health care provider with primary practice located at 105 Bertha Rd Ste B , Taos NM 87571-7148. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Abeyta, Dominique can be contacted via phone (575) 758-4297.

Contact Information

Primary practice address
105 Bertha Rd Ste B Taos NM 87571-7148
Phone: (575) 758-4297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1154059442
LBN Legal business name Abeyta, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2022
Last updated Feb 13th, 2023 - about last year

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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