Greacen, Sharon Hope
Greacen, Sharon Hope is an sole proprietor health care provider with primary practice located at 12000 Stone Lake Drive Laboratory, Dulce NM 87528-0187. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, which is considered as her primary health care specialty. Greacen, Sharon Hope can be contacted via phone (505) 759-7218.Contact Information
Primary practice address
12000 Stone Lake Drive Laboratory
Dulce NM 87528-0187
Phone: (505) 759-7218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Laboratory Management | 246QL0900X |
Profile Details
| NPI number | 1194747279 |
|---|---|
| LBN Legal business name | Greacen, Sharon Hope |
| Credentials | MT(ASCP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Apr 17th, 2008 - about 16 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 | 1194747279 | NPPES |
| New Mexico | Other | HSZ196 | MEDICARE PART B |
| New Mexico | MEDICAID | 000K3526 | MEDICARE PART B |
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