Acosta, Concepcion S
Acosta, Concepcion S is an sole proprietor health care provider with primary practice located at 5808 Mcleod Rd Ne Suite L, Albuquerque NM 87109-2455. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Acosta, Concepcion S can be contacted via phone (505) 884-3636.Contact Information
Primary practice address
5808 Mcleod Rd Ne Suite L
Albuquerque NM 87109-2455
Phone: (505) 884-3636
Fax: (505) 884-8181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0864 | New Mexico |
Profile Details
| NPI number | 1780791970 |
|---|---|
| LBN Legal business name | Acosta, Concepcion S |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2008 - about 16 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 | 1780791970 | NPPES |
| New Mexico | MEDICAID | 94588 | |
| New Mexico | Other | NM000218 |
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