Heredia-Sanchez, Crystal
Heredia-Sanchez, Crystal is an individual health care provider with primary practice located at 880 Anthony Drive Suite 8A, Anthony NM 88021. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heredia-Sanchez, Crystal can be contacted via phone (575) 201-5136.Contact Information
Primary practice address
880 Anthony Drive Suite 8A
Anthony NM 88021
Phone: (575) 201-5136
Fax: (575) 201-5141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-06430 | New Mexico |
Profile Details
| NPI number | 1780719658 |
|---|---|
| LBN Legal business name | Heredia-Sanchez, Crystal |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Feb 17th, 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 | 1780719658 | NPPES |
| New Mexico | MEDICAID | 18677037 |
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