Acosta, Jeremiah
Acosta, Jeremiah is an sole proprietor health care provider with primary practice located at 6400 Uptown Blvd Ne Ste 360W , Albuquerque NM 87110-4202. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Acosta, Jeremiah can be contacted via phone (505) 855-9893.Contact Information
Primary practice address
6400 Uptown Blvd Ne Ste 360W
Albuquerque NM 87110-4202
Phone: (505) 855-9893
Fax: (505) 848-9468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | X-10125 | New Mexico |
Profile Details
| NPI number | 1063937498 |
|---|---|
| LBN Legal business name | Acosta, Jeremiah |
| Credentials | PLMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2017 |
| Last updated | Aug 7th, 2017 - about 9 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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