Otero, Janelle

Otero, Janelle is an individual health care provider with primary practice located at 226 El Cerro Loop , Los Lunas NM 87031-9505. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Otero, Janelle can be contacted via phone (505) 261-1505.

Contact Information

Primary practice address
226 El Cerro Loop Los Lunas NM 87031-9505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M-06264 New Mexico

Profile Details

NPI number 1174650741
LBN Legal business name Otero, Janelle
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174650741 NPPES
New Mexico MEDICAID 55036821

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