Acosta, Angela Nicole
Acosta, Angela Nicole is an individual health care provider with primary practice located at 618 Manzano St Ne , Albuquerque NM 87110-6302. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Acosta, Angela Nicole can be contacted via phone (505) 925-4358.Contact Information
Primary practice address
618 Manzano St Ne
Albuquerque NM 87110-6302
Phone: (505) 925-4358
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | New Mexico |
Profile Details
| NPI number | 1497988786 |
|---|---|
| LBN Legal business name | Acosta, Angela Nicole |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2009 |
| Last updated | Dec 13th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497988786 | NPPES |
| New Mexico | MEDICAID | 72545 | |
| New Mexico | MEDICAID | 18677037 |
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