Deazevedo, Melanie
Deazevedo, Melanie is an individual health care provider with primary practice located at 5321 Menaul Blvd Ne Ste A , Albuquerque NM 87110-3127. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Deazevedo, Melanie can be contacted via phone (505) 889-3412.Contact Information
Primary practice address
5321 Menaul Blvd Ne Ste A
Albuquerque NM 87110-3127
Phone: (505) 889-3412
Fax: (505) 889-3422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 993 | New Mexico |
Profile Details
| NPI number | 1447316872 |
|---|---|
| LBN Legal business name | Deazevedo, Melanie |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447316872 | NPPES |
| New Mexico | MEDICAID | 15589854 |
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