Park, Heather Leigh
Park, Heather Leigh is an individual health care provider with primary practice located at 5006 Copper Ave Ne , Albuquerque NM 87108-1301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Park, Heather Leigh can be contacted via phone (505) 268-7988.Contact Information
Primary practice address
5006 Copper Ave Ne
Albuquerque NM 87108-1301
Phone: (505) 268-7988
Fax: (505) 268-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 2895 | New Mexico |
Profile Details
| NPI number | 1316211105 |
|---|---|
| LBN Legal business name | Park, Heather Leigh |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2012 |
| Last updated | Feb 27th, 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 | 1316211105 | NPPES |
| New Mexico | Other | 326556 | MEDICARE |
| New Mexico | MEDICAID | 10171568 | MEDICARE |
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