Tria, Reuel Joseph
Tria, Reuel Joseph is an individual health care provider with primary practice located at 300 N Kentucky Ave , Roswell NM 88201-4636. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tria, Reuel Joseph can be contacted via phone (505) 625-2571.Contact Information
Primary practice address
300 N Kentucky Ave
Roswell NM 88201-4636
Phone: (505) 625-2571
Fax: (505) 627-2544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3236 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305211438 | Virginia |
Profile Details
| NPI number | 1164573119 |
|---|---|
| LBN Legal business name | Tria, Reuel Joseph |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Aug 6th, 2019 - about 5 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 | 1164573119 | NPPES |
| New Mexico | MEDICAID | 72021888 |
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