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Contact Information

THOMAS R CORDOVA, MA
3505 CHELWOOD PARK NE
ALBUQUERQUE, NM87111
 Phone: 505-270-8706
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Day Traning/Habilitation Specialist

373H00000X
Indicates primary specialty

NPI Profile & details for THOMAS R CORDOVA · (Male)

NPI # 1407199581
Status Active
Credentials MA
Entity Individual
Enumeration date 03/27/2013
Last updated 11/15/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 0160571
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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