Vigil, Anita A
Vigil, Anita A is an individual health care provider with primary practice located at 1206 N Riverside Dr , Espanola NM 87532-2811. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vigil, Anita A can be contacted via phone (505) 747-0102.Contact Information
Primary practice address
1206 N Riverside Dr
Espanola NM 87532-2811
Phone: (505) 747-0102
Fax: (505) 753-9758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-1343 | New Mexico |
Profile Details
| NPI number | 1154540763 |
|---|---|
| LBN Legal business name | Vigil, Anita A |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 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 | 1154540763 | NPPES |
| New Mexico | MEDICAID | 67437 |
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