Carrillo, John Marion

Carrillo, John Marion is an individual health care provider with primary practice located at 6801 Jefferson St Ne Ste 301 , Albuquerque NM 87109-7390. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Carrillo, John Marion can be contacted via phone (505) 705-1701.

Contact Information

Primary practice address
6801 Jefferson St Ne Ste 301 Albuquerque NM 87109-7390
Phone: (505) 705-1701
Fax: (505) 212-1253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1467235515
LBN Legal business name Carrillo, John Marion
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - about 3 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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