Benally, Carolyn D.
Benally, Carolyn D. is an sole proprietor health care provider with primary practice located at 1430 San Carlos Rd Sw , Albuquerque NM 87104-1041. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Benally, Carolyn D. can be contacted via phone (505) 553-1093.Contact Information
Primary practice address
1430 San Carlos Rd Sw
Albuquerque NM 87104-1041
Phone: (505) 553-1093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A-0436 | New Mexico |
Profile Details
| NPI number | 1215112909 |
|---|---|
| LBN Legal business name | Benally, Carolyn D. |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2008 |
| Last updated | Jan 1st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215112909 | NPPES |
| New Mexico | Other | A-0436 | PT LICENSURE |
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