Thibodeaux, Alicia
Thibodeaux, Alicia is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Thibodeaux, Alicia can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E Nizhoni Blvd
Gallup NM 87301-5748
Phone: (505) 722-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9836847-9934 | Utah |
Profile Details
| NPI number | 1265885990 |
|---|---|
| LBN Legal business name | Thibodeaux, Alicia |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2016 |
| Last updated | Apr 17th, 2017 - about 9 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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