Medina, Bernadine Joann
Medina, Bernadine Joann is an individual health care provider with primary practice located at 3001 Hotsprings Blvd , Las Vegas NM 87701-2737. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Medina, Bernadine Joann can be contacted via phone (505) 425-6786.Contact Information
Primary practice address
3001 Hotsprings Blvd
Las Vegas NM 87701-2737
Phone: (505) 425-6786
Fax: (505) 425-6787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0107321 | New Mexico |
Profile Details
| NPI number | 1255595302 |
|---|---|
| LBN Legal business name | Medina, Bernadine Joann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2008 |
| Last updated | Jul 17th, 2008 - about 18 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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