Corral, Joel
Corral, Joel is an individual health care provider with primary practice located at 1505 Roberts Dr , Las Cruces NM 88005-3159. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Corral, Joel can be contacted via phone (575) 805-7680.Contact Information
Primary practice address
1505 Roberts Dr
Las Cruces NM 88005-3159
Phone: (575) 805-7680
Fax: (575) 524-4266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1649672825 |
|---|---|
| LBN Legal business name | Corral, Joel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2014 |
| Last updated | Oct 16th, 2015 - about 10 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 | 1649672825 | NPPES |
| New Mexico | MEDICAID | 74481 |
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