Lesse, Bethany
Lesse, Bethany is an individual health care provider with primary practice located at 2528 Ridge Runner Rd , Las Vegas NM 87701-4971. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Lesse, Bethany can be contacted via phone (505) 425-2622.Contact Information
Primary practice address
2528 Ridge Runner Rd
Las Vegas NM 87701-4971
Phone: (505) 425-2622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1689391013 |
|---|---|
| LBN Legal business name | Lesse, Bethany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2022 |
| Last updated | Oct 26th, 2022 - about 3 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 | 1689391013 | NPPES |
| New Mexico | MEDICAID | 850366556 |
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