Lavadie, Jose Alfredo
Lavadie, Jose Alfredo is an individual health care provider with primary practice located at 203 Califonia St Ne , Albuquerque NM 87108. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Lavadie, Jose Alfredo can be contacted via phone (505) 308-8296.Contact Information
Primary practice address
203 Califonia St Ne
Albuquerque NM 87108
Phone: (505) 308-8296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 1089 | New Mexico |
Profile Details
| NPI number | 1154924611 |
|---|---|
| LBN Legal business name | Lavadie, Jose Alfredo |
| Credentials | CPSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2020 |
| Last updated | Nov 18th, 2020 - about 4 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 | 1154924611 | NPPES |
| New Mexico | Other | 120484028 | DRIVERS LICENCE |
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