Tetruealt, Denise
Tetruealt, Denise is an individual health care provider with primary practice located at 10 Price Ranch Rd , Santa Fe NM 87505-9597. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Tetruealt, Denise can be contacted via phone (505) 466-4184.Contact Information
Primary practice address
10 Price Ranch Rd
Santa Fe NM 87505-9597
Phone: (505) 466-4184
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | M-05146 | New Mexico |
Profile Details
NPI number | 1215057096 |
---|---|
LBN Legal business name | Tetruealt, Denise |
Credentials | SW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1215057096 | NPPES |
New Mexico | MEDICAID | 26178516 |
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