Sandoval-Carpenter, Antoinette
Sandoval-Carpenter, Antoinette is an sole proprietor health care provider with primary practice located at 1717 Gros Ventre Dr Ne , Rio Rancho NM 87144-7783. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sandoval-Carpenter, Antoinette can be contacted via phone (505) 350-6643.Contact Information
Primary practice address
1717 Gros Ventre Dr Ne
Rio Rancho NM 87144-7783
Phone: (505) 350-6643
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0080401 | New Mexico |
Profile Details
| NPI number | 1447226030 |
|---|---|
| LBN Legal business name | Sandoval-Carpenter, Antoinette |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Mar 20th, 2017 - about 7 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 | 1447226030 | NPPES |
| New Mexico | MEDICAID | 86284720 |
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