Phares, Carol
Phares, Carol is an individual health care provider with primary practice located at 4216 Balloon Park Rd Ne , Albuquerque NM 87109-5801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Phares, Carol can be contacted via phone (505) 344-5470.Contact Information
Primary practice address
4216 Balloon Park Rd Ne
Albuquerque NM 87109-5801
Phone: (505) 344-5470
Fax: (505) 344-9343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 811 | New Mexico |
Profile Details
| NPI number | 1417090259 |
|---|---|
| LBN Legal business name | Phares, Carol |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417090259 | NPPES |
| New Mexico | MEDICAID | J2696 | |
| New Mexico | Other | 811 |
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