Sophie R. Wagner, Nm Speech-Language Pathologist, Llc
LBN: Sophie R. Wagner, Nm Speech-Language Pathologist, Llc
Sophie R. Wagner, Nm Speech-Language Pathologist, Llc is an health care organization with primary practice located at 1503 Central Ave Nw Unit 202, Albuquerque NM 87104-1180. The organization recently has only one registered license in Ambulatory Health Care Facilities / Hearing and Speech, which is considered as the primary health care specialty.
Sophie R. Wagner, Nm Speech-Language Pathologist, Llc can be contacted via phone (505) 401-8204, or through Wagner, Caryn via phone (505) 980-5334.
Contact Information
Primary practice address
1503 Central Ave Nw Unit 202
Albuquerque NM 87104-1180
Phone: (505) 401-8204
Fax: (505) 232-3588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X | 5431 | New Mexico |
Profile Details
| NPI number | 1144640947 |
|---|---|
| LBN Legal business name | Sophie R. Wagner, Nm Speech-Language Pathologist, Llc |
| DBA Doing business as | |
| Authorized official | Wagner, Caryn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2014 |
| Last updated | Sep 4th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144640947 | NPPES |
| New Mexico | Other | 81888228 | MEDICAID, INDIVIDUAL PROVIDER ID, NOT BILLING PROVIDER ID |
| New Mexico | MEDICAID | 47631597 | MEDICAID, INDIVIDUAL PROVIDER ID, NOT BILLING PROVIDER ID |
| New Mexico | Other | 03272176005 | MEDICAID, INDIVIDUAL PROVIDER ID, NOT BILLING PROVIDER ID |
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