Correa, Jose Roberto
Correa, Jose Roberto is an individual health care provider with primary practice located at 2060 Main St Ne Ste A , Los Lunas NM 87031-6368. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Correa, Jose Roberto can be contacted via phone (505) 247-4466.Contact Information
Primary practice address
2060 Main St Ne Ste A
Los Lunas NM 87031-6368
Phone: (505) 247-4466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2840 | New Mexico |
Profile Details
| NPI number | 1427032978 |
|---|---|
| LBN Legal business name | Correa, Jose Roberto |
| Credentials | M.S. CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Aug 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427032978 | NPPES |
| New Mexico | MEDICAID | 23028319 |
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