Madrid, Shastidy Pauline
Madrid, Shastidy Pauline is an individual health care provider with primary practice located at 1 Camino Oro Ct , Tijeras NM 87059-7924. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Madrid, Shastidy Pauline can be contacted via phone (706) 593-8731.Contact Information
Primary practice address
1 Camino Oro Ct
Tijeras NM 87059-7924
Phone: (706) 593-8731
Fax: (706) 593-8732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1962273854 |
|---|---|
| LBN Legal business name | Madrid, Shastidy Pauline |
| Credentials | CCSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2024 |
| Last updated | Jan 10th, 2024 - about last year |
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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