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Contact Information

JEREMY J BALDILLEZ
3100 OAK ST
LAS CRUCES, NM88005-3425
 Phone: 575-323-3354
 Fax: 575-523-3354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEREMY J BALDILLEZ · (Male)

NPI # 1003004359
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2007
Last updated 04/21/2017 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 275299
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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