Medina, Nicholas Demecio
Medina, Nicholas Demecio is an individual health care provider with primary practice located at 7007 Jefferson St Ne Ste C , Albuquerque NM 87109-4450. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Medina, Nicholas Demecio can be contacted via phone (505) 821-4325.Contact Information
Primary practice address
7007 Jefferson St Ne Ste C
Albuquerque NM 87109-4450
Phone: (505) 821-4325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 493 | New Mexico |
Profile Details
| NPI number | 1831478445 |
|---|---|
| LBN Legal business name | Medina, Nicholas Demecio |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2011 |
| Last updated | Aug 12th, 2011 - about 15 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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