Monette, Lewis
Monette, Lewis is an sole proprietor health care provider with primary practice located at 3912 Isleta Blvd Sw Harrison Ms, Albuquerque NM 87105-6131. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Monette, Lewis can be contacted via phone (505) 877-1279.Contact Information
Primary practice address
3912 Isleta Blvd Sw Harrison Ms
Albuquerque NM 87105-6131
Phone: (505) 877-1279
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | M 3582 | New Mexico |
Profile Details
NPI number | 1578789509 |
---|---|
LBN Legal business name | Monette, Lewis |
Credentials | SW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 18th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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 | 1578789509 | NPPES |
New Mexico | MEDICAID | 12381853 |
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