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Contact Information

COY BRUSUELAS, FSS
206 PORR DR
RUIDOSO, NM88345
 Phone: 575-630-0571
 Fax: 575-630-0574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for COY BRUSUELAS · (Male)

NPI Number 1871826842
Status Active
Credentials FSS
Entity Individual
Enumeration date 09/09/2009
Last updated 09/09/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NM Medicaid L7094
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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