Holguin, Sergio M
Holguin, Sergio M is an individual health care provider with primary practice located at 880 Anthony Dr. , Anthony NM 88021. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Holguin, Sergio M can be contacted via phone (575) 201-5136.Contact Information
Primary practice address
880 Anthony Dr.
Anthony NM 88021
Phone: (575) 201-5136
Fax: (575) 201-5141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | X-08783 | New Mexico |
Profile Details
| NPI number | 1366842890 |
|---|---|
| LBN Legal business name | Holguin, Sergio M |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2014 |
| Last updated | Sep 3rd, 2014 - about 10 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 | 1366842890 | NPPES |
| New Mexico | MEDICAID | 18677037 |
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