Fajardo, Lila Denise
Fajardo, Lila Denise is an sole proprietor health care provider with primary practice located at 900 Central Ave , Bayard NM 88023. 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. Fajardo, Lila Denise can be contacted via phone (575) 537-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3673 | New Mexico |
Profile Details
| NPI number | 1295898633 |
|---|---|
| LBN Legal business name | Fajardo, Lila Denise |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Aug 22nd, 2018 - about 7 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 | 1295898633 | NPPES |
| New Mexico | MEDICAID | 452 |
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