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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689391013 NPPES
New Mexico MEDICAID 850366556

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