Brook, Janet Vallese
Brook, Janet Vallese is an sole proprietor health care provider with primary practice located at 1565 Bosquecito Road , Socorro NM 87801. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brook, Janet Vallese can be contacted via phone (505) 835-2118.Contact Information
Primary practice address
1565 Bosquecito Road
Socorro NM 87801
Phone: (505) 835-2118
Fax: (505) 835-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 410 | New Mexico |
Profile Details
| NPI number | 1205842739 |
|---|---|
| LBN Legal business name | Brook, Janet Vallese |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205842739 | NPPES |
| New Mexico | MEDICAID | 000D1615 | |
| New Mexico | Other | 410 | |
| New Mexico | MEDICAID | 78902525 | |
| New Mexico | Other | 01025724 | |
| New Mexico | Other | 02083282006 |
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