Saltclah, Rose

Saltclah, Rose is an individual health care provider with primary practice located at 3451 N Butler Ave , Farmington NM 87401-2357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Saltclah, Rose can be contacted via phone (505) 566-1915.

Contact Information

Primary practice address
3451 N Butler Ave Farmington NM 87401-2357
Phone: (505) 566-1915
Fax: (505) 566-1918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R23620 New Mexico

Profile Details

NPI number 1780768028
LBN Legal business name Saltclah, Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 7th, 2017 - about 8 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 1780768028 NPPES
New Mexico MEDICAID 13534084

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