Waggoner, Coral Jane

Waggoner, Coral Jane is an sole proprietor health care provider with primary practice located at 4700 Jefferson St Ne Ste 800 , Albuquerque NM 87109-2132. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Waggoner, Coral Jane can be contacted via phone (505) 872-6005.

Contact Information

Primary practice address
4700 Jefferson St Ne Ste 800 Albuquerque NM 87109-2132
Phone: (505) 872-6005
Fax: (515) 872-6003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X PT2013-0001 New Mexico

Profile Details

NPI number 1467958942
LBN Legal business name Waggoner, Coral Jane
Credentials RPSGT, RRT,CCSH,MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2018
Last updated Apr 3rd, 2018 - about 8 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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