Medina, Christina Jennifer
Medina, Christina Jennifer is an sole proprietor health care provider with primary practice located at 5700 Tierra Viva Pl Nw , Albuquerque NM 87107-5271. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Medina, Christina Jennifer can be contacted via phone (505) 341-9428.Contact Information
Primary practice address
5700 Tierra Viva Pl Nw
Albuquerque NM 87107-5271
Phone: (505) 341-9428
Fax: (505) 341-9428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1285 | New Mexico |
Profile Details
| NPI number | 1225274590 |
|---|---|
| LBN Legal business name | Medina, Christina Jennifer |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2008 |
| Last updated | Dec 16th, 2008 - about 18 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 | 1225274590 | NPPES |
| New Mexico | MEDICAID | Z0816 |
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