Acosta, Jeremiah

Acosta, Jeremiah is an sole proprietor health care provider with primary practice located at 6400 Uptown Blvd Ne Ste 360W , Albuquerque NM 87110-4202. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Acosta, Jeremiah can be contacted via phone (505) 855-9893.

Contact Information

Primary practice address
6400 Uptown Blvd Ne Ste 360W Albuquerque NM 87110-4202
Fax: (505) 848-9468
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X X-10125 New Mexico

Profile Details

NPI number 1063937498
LBN Legal business name Acosta, Jeremiah
Credentials PLMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2017
Last updated Aug 7th, 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.

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