Mann, Sabrina Ilutzi
Mann, Sabrina Ilutzi is an sole proprietor health care provider with primary practice located at 4233 Montgomery Blvd Ne Suite 240 West, Albuquerque NM 87109-6749. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mann, Sabrina Ilutzi can be contacted via phone (505) 766-5311.Contact Information
Primary practice address
4233 Montgomery Blvd Ne Suite 240 West
Albuquerque NM 87109-6749
Phone: (505) 766-5311
Fax: (505) 883-3076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I-05014 | New Mexico |
Profile Details
| NPI number | 1306888292 |
|---|---|
| LBN Legal business name | Mann, Sabrina Ilutzi |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 16th, 2014 - about 11 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 | 1306888292 | NPPES |
| New Mexico | Other | NM00JL92 | BCBS |
| New Mexico | Other | 202004937 | BCBS |
| New Mexico | MEDICAID | 88731511 | BCBS |
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