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Contact Information

LIFE ENHANCEMENT SPECIALISTS LLC
8200 CARMEL AVE NE
STE. 102
ALBUQUERQUE, NM87122-2941
 Phone: 505-892-0402
 Fax: 505-892-5544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LIFE ENHANCEMENT SPECIALISTS LLC · (Female)

NPI Number 1730506494
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2014
Last updated 03/19/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # MD2005-0713
  • NM Other MA100865 MEDICARE PTAN
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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