Candelaria, Bobby G
Candelaria, Bobby G is an sole proprietor health care provider with primary practice located at 205 N Auburn Ave , Farmington NM 87401-8411. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Candelaria, Bobby G can be contacted via phone (505) 564-3733.Contact Information
Primary practice address
205 N Auburn Ave
Farmington NM 87401-8411
Phone: (505) 564-3733
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0069761 | New Mexico |
Profile Details
NPI number | 1720231376 |
---|---|
LBN Legal business name | Candelaria, Bobby G |
Credentials | LADAC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 28th, 2008 |
Last updated | Oct 28th, 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.
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