Vega, Omar A

Vega, Omar A is an individual health care provider with primary practice located at 29 Rito Guicu , Santa Fe NM 87507-4321. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Vega, Omar A can be contacted via phone (505) 235-4002.

Contact Information

Primary practice address
29 Rito Guicu Santa Fe NM 87507-4321
Phone: (505) 235-4002
Fax: (505) 473-9409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 375345 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X 0123991 New Mexico

Profile Details

NPI number 1386855252
LBN Legal business name Vega, Omar A
Credentials LPCC, LED, LSP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386855252 NPPES
New Mexico MEDICAID 64972526

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