Aragon, Samuel A

Aragon, Samuel A is an sole proprietor health care provider with primary practice located at Hwy 518 Ranger Rd. , Mora NM 87773. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Aragon, Samuel A can be contacted via phone (505) 387-3113.

Contact Information

Primary practice address
Hwy 518 Ranger Rd. Mora NM 87773
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X I-0865 New Mexico

Profile Details

NPI number 1962690826
LBN Legal business name Aragon, Samuel A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2007
Last updated Oct 4th, 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 1962690826 NPPES
New Mexico MEDICAID 15700763

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