Hettinger, Katie
Hettinger, Katie is an sole proprietor 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 Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hettinger, Katie 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 |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1992290423 |
|---|---|
| LBN Legal business name | Hettinger, Katie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2018 |
| Last updated | Jun 27th, 2018 - about 8 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 | 1992290423 | NPPES |
| New Mexico | MEDICAID | 1992867998 |
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