Ewing-Hayes, Jacque G
Ewing-Hayes, Jacque G is an individual health care provider with primary practice located at 3695 Hot Springs Blvd , Las Vegas NM 87701-9549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ewing-Hayes, Jacque G can be contacted via phone (505) 454-2100.Contact Information
Primary practice address
3695 Hot Springs Blvd
Las Vegas NM 87701-9549
Phone: (505) 454-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 80-PA017 | New Mexico |
Profile Details
| NPI number | 1295846772 |
|---|---|
| LBN Legal business name | Ewing-Hayes, Jacque G |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 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 | 1295846772 | NPPES |
| New Mexico | MEDICAID | 94003 |
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