National Provider Identifier Database

LUNA DE COBRE THERAPY CENTER LLC
Professional


Contact Information

LUNA DE COBRE THERAPY CENTER, LLC
807 GRANT ST.
BAYARD, NM88023
Phone: 575-590-2202
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for LUNA DE COBRE THERAPY CENTER, LLC

NPI Number 1184949422
Legal business name
LBN
LUNA DE COBRE THERAPY CENTER, LLC
Authorized official MARGARITA SILVA POTTS - (REGISTERED AGENT)
Entity Organization
Organization subpart No
Enumeration date 03/30/2010
Last updated 03/30/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 0101621

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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