Sherwood, Andrea Rae
Sherwood, Andrea Rae is an individual health care provider with primary practice located at 3400 Constitution Ave Ne Ste C , Albuquerque NM 87106-1243. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sherwood, Andrea Rae can be contacted via phone (505) 270-4242.Contact Information
Primary practice address
3400 Constitution Ave Ne Ste C
Albuquerque NM 87106-1243
Phone: (505) 270-4242
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0929 | New Mexico |
Profile Details
NPI number | 1396704193 |
---|---|
LBN Legal business name | Sherwood, Andrea Rae |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2006 |
Last updated | Aug 11th, 2020 - about 4 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 | 1396704193 | NPPES |
New Mexico | MEDICAID | 28984285 |
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