Gallegos, Matt
Gallegos, Matt is an individual health care provider with primary practice located at 324 W Main St , Farmington NM 87401. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Gallegos, Matt can be contacted via phone (505) 772-9663.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1942938337 |
|---|---|
| LBN Legal business name | Gallegos, Matt |
| Credentials | CPSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2022 |
| Last updated | Aug 12th, 2022 - about 4 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 | 1942938337 | NPPES |
| New Mexico | MEDICAID | 1395 |
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