Gonzales, Phyllis Nadine
Gonzales, Phyllis Nadine is an sole proprietor health care provider with primary practice located at 219 Washington Avenue , Santa Fe NM 87501-1926. She recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as her primary health care specialty. Gonzales, Phyllis Nadine can be contacted via phone (505) 946-7677.Contact Information
Primary practice address
219 Washington Avenue
Santa Fe NM 87501-1926
Phone: (505) 946-7677
Fax: (505) 986-1569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 1318 | New Mexico |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 4766 | Colorado |
| Chiropractic Providers / Rehabilitation | 111NR0400X | DC-29335 | California |
Profile Details
| NPI number | 1821150756 |
|---|---|
| LBN Legal business name | Gonzales, Phyllis Nadine |
| Credentials | DC, BSN-RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Mar 10th, 2015 - about 9 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 | 1821150756 | NPPES |
| New Mexico | Other | 5657319 | FIRST HEALTH |
| New Mexico | Other | 9408737 | FIRST HEALTH |
| New Mexico | Other | 12395202 | FIRST HEALTH |
| New Mexico | Other | 693017 | FIRST HEALTH |
| New Mexico | Other | NM00KL98 | FIRST HEALTH |
| New Mexico | Other | 876338000 | FIRST HEALTH |
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