Luchetti, Celina M

Luchetti, Celina M is an individual health care provider with primary practice located at 490A W Zia Rd Suite 200, Santa Fe NM 87505-6996. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Luchetti, Celina M can be contacted via phone (505) 988-3975.

Contact Information

Primary practice address
490A W Zia Rd Suite 200 Santa Fe NM 87505-6996
Phone: (505) 988-3975
Fax: (505) 986-8001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2003-0030 New Mexico

Profile Details

NPI number 1568418697
LBN Legal business name Luchetti, Celina M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568418697 NPPES
New Mexico MEDICAID 22537082
New Mexico Other PROVP14189
New Mexico Other 10012822

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