Gonzales, Sandra L
Gonzales, Sandra L is an individual health care provider with primary practice located at 1311 N Grant St Ste A , Silver City NM 88061-5134. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gonzales, Sandra L can be contacted via phone (575) 388-1447.Contact Information
Primary practice address
1311 N Grant St Ste A
Silver City NM 88061-5134
Phone: (575) 388-1447
Fax: (575) 388-1447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0124031 | New Mexico |
Profile Details
| NPI number | 1932207263 |
|---|---|
| LBN Legal business name | Gonzales, Sandra L |
| Credentials | SAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 4th, 2024 - about 11 months 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 | 1932207263 | NPPES |
| New Mexico | MEDICAID | 18677037 |
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