Carl, Rada
Carl, Rada is an sole proprietor health care provider with primary practice located at 10600 Indian School Rd Ne Jackson Ms, Albuquerque NM 87112-3101. 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. Carl, Rada can be contacted via phone (505) 299-7377.Contact Information
Primary practice address
10600 Indian School Rd Ne Jackson Ms
Albuquerque NM 87112-3101
Phone: (505) 299-7377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1289 | New Mexico |
Profile Details
| NPI number | 1669519963 |
|---|---|
| LBN Legal business name | Carl, Rada |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 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 | 1669519963 | NPPES |
| New Mexico | MEDICAID | J 5074 |
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