Atanasoff, Gwenn

Atanasoff, Gwenn is an sole proprietor health care provider with primary practice located at 1700 Sunshine Ter Se Lowell Es, Albuquerque NM 87106-3906. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Atanasoff, Gwenn can be contacted via phone (505) 764-2011.

Contact Information

Primary practice address
1700 Sunshine Ter Se Lowell Es Albuquerque NM 87106-3906
Fax:
Website:

Health care specialties

Profile Details

NPI number 1619157203
LBN Legal business name Atanasoff, Gwenn
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2007
Last updated Nov 12th, 2007 - about 19 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 1619157203 NPPES
New Mexico MEDICAID 82787808

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