Alderson, Jay Galen

Alderson, Jay Galen is an individual health care provider with primary practice located at 1807 2Nd St Ste 101 , Santa Fe NM 87505-3510. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Alderson, Jay Galen can be contacted via phone (505) 982-8561.

Contact Information

Primary practice address
1807 2Nd St Ste 101 Santa Fe NM 87505-3510
Phone: (505) 982-8561
Fax: (505) 989-1740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1100 New Mexico

Profile Details

NPI number 1417008038
LBN Legal business name Alderson, Jay Galen
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417008038 NPPES
New Mexico MEDICAID 71309829

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