Elizalde, Timothea
Elizalde, Timothea is an sole proprietor health care provider with primary practice located at 4700 Coal Ave Se Highland Hs, Albuquerque NM 87108-2804. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Elizalde, Timothea can be contacted via phone (505) 265-3711.Contact Information
Primary practice address
4700 Coal Ave Se Highland Hs
Albuquerque NM 87108-2804
Phone: (505) 265-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | M 2819 | New Mexico |
Profile Details
| NPI number | 1194877308 |
|---|---|
| LBN Legal business name | Elizalde, Timothea |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| 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 | 1194877308 | NPPES |
| New Mexico | MEDICAID | 28480040 |
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