Cassidy, Elizabeth

Cassidy, Elizabeth is an individual health care provider with primary practice located at 1500 5Th St , Santa Fe NM 87505-3480. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Cassidy, Elizabeth can be contacted via phone (505) 470-1690.

Contact Information

Primary practice address
1500 5Th St Santa Fe NM 87505-3480
Fax: (505) 983-3003
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife, Lay 175M00000X 96307-R New Mexico

Profile Details

NPI number 1356565139
LBN Legal business name Cassidy, Elizabeth
Credentials CPM, LM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 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 1356565139 NPPES
New Mexico MEDICAID 48659517

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