Reznowski, Theodore David

Reznowski, Theodore David is an individual health care provider with primary practice located at 607 E Apache St , Farmington NM 87401-6925. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Registered Nurse is his primary health care specialty. Reznowski, Theodore David can be contacted via phone (505) 326-2012.

Contact Information

Primary practice address
607 E Apache St Farmington NM 87401-6925
Phone: (505) 326-2012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-81941 New Mexico
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN-81941 New Mexico
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN-81941 New Mexico

Profile Details

NPI number 1881066991
LBN Legal business name Reznowski, Theodore David
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2015
Last updated Oct 28th, 2015 - about 10 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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