Chavez, Gerald Anthony
Chavez, Gerald Anthony is an sole proprietor health care provider with primary practice located at 4308 Carlisle Blvd Ne Ste 210, Albuquerque NM 87107-4849. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chavez, Gerald Anthony can be contacted via phone (505) 247-1921.Contact Information
Primary practice address
4308 Carlisle Blvd Ne Ste 210
Albuquerque NM 87107-4849
Phone: (505) 247-1921
Fax: (505) 247-1020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1370 | New Mexico |
Profile Details
| NPI number | 1043382047 |
|---|---|
| LBN Legal business name | Chavez, Gerald Anthony |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Apr 27th, 2016 - about 9 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 | 1043382047 | NPPES |
| New Mexico | MEDICAID | 81874359 |
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