Vigil, Victoria

Vigil, Victoria is an sole proprietor health care provider with primary practice located at 901 Douglas Ave , Las Vegas NM 87701-3928. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Vigil, Victoria can be contacted via phone (505) 429-4399.

Contact Information

Primary practice address
901 Douglas Ave Las Vegas NM 87701-3928
Fax: (505) 454-5716
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 293647 New Mexico

Profile Details

NPI number 1851879480
LBN Legal business name Vigil, Victoria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2018
Last updated Aug 6th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851879480 NPPES
New Mexico MEDICAID 1639203318

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