Agosta, Jennifer
Agosta, Jennifer is an individual health care provider with primary practice located at 4351 E Lohman Ave Ste 320 , Las Cruces NM 88011-8262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Agosta, Jennifer can be contacted via phone (575) 556-3240.Contact Information
Primary practice address
4351 E Lohman Ave Ste 320
Las Cruces NM 88011-8262
Phone: (575) 556-3240
Fax: (575) 522-3092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2008-0157 | New Mexico |
Profile Details
| NPI number | 1174749014 |
|---|---|
| LBN Legal business name | Agosta, Jennifer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Dec 21st, 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 | 1174749014 | NPPES |
| New Mexico | Other | 570315YY54 | MEDICARE ID |
| New Mexico | MEDICAID | 29380049 | MEDICARE ID |
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