Bundy, Jessica
Bundy, Jessica is an sole proprietor health care provider with primary practice located at 221 W Argyle St Apt 14 , Hagerman NM 88232-9407. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bundy, Jessica can be contacted via phone (575) 513-5671.Contact Information
Primary practice address
221 W Argyle St Apt 14
Hagerman NM 88232-9407
Phone: (575) 513-5671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1316484678 |
|---|---|
| LBN Legal business name | Bundy, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2017 |
| Last updated | Jan 25th, 2017 - about 8 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 | 1316484678 | NPPES |
| New Mexico | MEDICAID | 3282928234 |
Popular Providers
-
Farina, Rosemarie A
510 E Gore St , Orlando FL 32806-1337 -
Fisk, Albert
41521 W 11 Mile Rd , Novi MI 48375-1803 -
Repay, Christina Eva
3200 Greenfield Rd Ste 300 , Dearborn MI 48120-1800 -
Ellis, Jennifer
1110 13Th St , Columbus GA 31901-2246 -
Olah, Suzanne Elizabeth
812 W Town And Country Rd , Orange CA 92868-4712 -
Fillpot, Lillian
1171 Homestead Rd Ste 250 , Santa Clara CA 95050-5485 -
Hicks, Sheryl Denise
2670 N Main St , Santa Ana CA 92705-6639 -
Milewski, Linda M
2285 Benden Dr , Wooster OH 44691-2568