Dwiggins, Damon
Dwiggins, Damon is an sole proprietor health care provider with primary practice located at 755 S Telshor Blvd Bldg C Suite 201, Las Cruces NM 88011-4688. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Dwiggins, Damon can be contacted via phone (575) 640-2088.Contact Information
Primary practice address
755 S Telshor Blvd Bldg C Suite 201
Las Cruces NM 88011-4688
Phone: (575) 640-2088
Fax: (575) 522-3959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 5765 | New Mexico |
Profile Details
| NPI number | 1174780639 |
|---|---|
| LBN Legal business name | Dwiggins, Damon |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2008 |
| Last updated | May 21st, 2008 - 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 | 1174780639 | NPPES |
| New Mexico | Other | 539707-07 | NATIONAL CERTIFICATION BOARD OF THERAPEUTIC MASSAGE |
| New Mexico | Other | 5765 | NATIONAL CERTIFICATION BOARD OF THERAPEUTIC MASSAGE |
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