Jacquez, Antonio Gonzales
Jacquez, Antonio Gonzales is an individual health care provider with primary practice located at 900 Central , Bayard NM 88023. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Jacquez, Antonio Gonzales can be contacted via phone (505) 537-4000.Contact Information
Primary practice address
900 Central
Bayard NM 88023
Phone: (505) 537-4000
Fax: (505) 537-3921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 2225 | New Mexico |
Profile Details
| NPI number | 1659400828 |
|---|---|
| LBN Legal business name | Jacquez, Antonio Gonzales |
| Credentials | COTAL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
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