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Contact Information

SYNERGY WELLNESS CENTER LLC
3600 RODEO LN
5B
SANTA FE, NM87507-6400
 Phone: 505-292-9700
 Fax: 505-867-2566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SYNERGY WELLNESS CENTER LLC · (Female)

NPI # 1982930160
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2009
Last updated 09/24/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 307
  • NM Medicaid 10007865
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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