Mix, Catherine Helene
Mix, Catherine Helene is an sole proprietor health care provider with primary practice located at 1424 Deborah Rd Se Ste 205 , Rio Rancho NM 87124-6619. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Mix, Catherine Helene can be contacted via phone (505) 636-6100.Contact Information
Primary practice address
1424 Deborah Rd Se Ste 205
Rio Rancho NM 87124-6619
Phone: (505) 636-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1063094217 |
|---|---|
| LBN Legal business name | Mix, Catherine Helene |
| Credentials | CCSS WORKER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2021 |
| Last updated | Apr 27th, 2021 - about 5 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 | 1063094217 | NPPES |
| New Mexico | Other | 502514253 | DRIVERS LICENSE |
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