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Contact Information

CHRISTINE M. FORMICA
2152 JASPER BLUFF ST UNIT 105
LAS VEGAS, NV89117-5977
 Phone: 702-327-2829
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CHRISTINE M. FORMICA

NPI # 1962717892
LBN Legal business name CHRISTINE M. FORMICA
Authorized official CHRISTINE FORMICA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2010
Last updated 08/16/2010 - About 16 years ago
Identifiers
NV License # 5789-C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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