Calzado, Jimmy Maggay

Calzado, Jimmy Maggay is an individual health care provider with primary practice located at 1350 Jackie Rd Se Suite 104, Rio Rancho NM 87124-1519. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Calzado, Jimmy Maggay can be contacted via phone (505) 515-3982.

Contact Information

Primary practice address
1350 Jackie Rd Se Suite 104 Rio Rancho NM 87124-1519
Phone: (505) 515-3982
Fax: (505) 792-6060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP-01999 New Mexico

Profile Details

NPI number 1003162736
LBN Legal business name Calzado, Jimmy Maggay
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2012
Last updated Oct 25th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003162736 NPPES
New Mexico MEDICAID 08453781

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