Olmos, Heather Larae
Olmos, Heather Larae is an sole proprietor health care provider with primary practice located at 2733 Quail Run Dr , Sierra Vista AZ 85635-3448. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Olmos, Heather Larae can be contacted via phone (520) 459-2371.Contact Information
Primary practice address
2733 Quail Run Dr
Sierra Vista AZ 85635-3448
Phone: (520) 459-2371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 11412 | Arizona |
Profile Details
| NPI number | 1629220462 |
|---|---|
| LBN Legal business name | Olmos, Heather Larae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2008 |
| Last updated | Oct 10th, 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 | 1629220462 | NPPES |
| Arizona | MEDICAID | 00000000 |
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