Dennis, Bert

Dennis, Bert is an individual health care provider with primary practice located at 411 S 3Rd St , Raton NM 87740-4005. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Dennis, Bert can be contacted via phone (575) 733-0003.

Contact Information

Primary practice address
411 S 3Rd St Raton NM 87740-4005
Phone: (575) 733-0003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1417555764
LBN Legal business name Dennis, Bert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2020
Last updated Oct 9th, 2020 - about 5 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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