Coriz, Amanda T
Coriz, Amanda T is an individual health care provider with primary practice located at 1200 N Paseo De Onate , Espanola NM 87532-2687. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Coriz, Amanda T can be contacted via phone (505) 747-7400.Contact Information
Primary practice address
1200 N Paseo De Onate
Espanola NM 87532-2687
Phone: (505) 747-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1700561362 |
|---|---|
| LBN Legal business name | Coriz, Amanda T |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2023 |
| Last updated | Jun 29th, 2023 - about last year |
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 | 1700561362 | NPPES |
| New Mexico | MEDICAID | 10547814100 |
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