Herrera, Michael Dennis
Herrera, Michael Dennis is an sole proprietor health care provider with primary practice located at 2019 Galisteo St. Ste. G5 Galisteo Center, Santa Fe NM 87505-2164. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Herrera, Michael Dennis can be contacted via phone (505) 989-9600.Contact Information
Primary practice address
2019 Galisteo St. Ste. G5 Galisteo Center
Santa Fe NM 87505-2164
Phone: (505) 989-9600
Fax: (505) 982-3616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 242 | New Mexico |
Profile Details
| NPI number | 1205828233 |
|---|---|
| LBN Legal business name | Herrera, Michael Dennis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jan 24th, 2012 - about 14 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 | 1205828233 | NPPES |
| New Mexico | MEDICAID | P6026 |
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