Charlie, Heather Rose

Charlie, Heather Rose is an sole proprietor health care provider with primary practice located at 1305 Hutton Ave , Farmington NM 87402-7601. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Charlie, Heather Rose can be contacted via phone (505) 330-6953.

Contact Information

Primary practice address
1305 Hutton Ave Farmington NM 87402-7601
Phone: (505) 330-6953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X New Mexico

Profile Details

NPI number 1972239655
LBN Legal business name Charlie, Heather Rose
Credentials NCPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2022
Last updated Aug 11th, 2022 - about 2 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 1972239655 NPPES
New Mexico Other 882876775 NURSING HOMES
New Mexico MEDICAID 882876775 NURSING HOMES

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