National Provider Identifier Database

PATIENCE GRASSHOPPER THERAPEUTICS
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

PATIENCE GRASSHOPPER THERAPEUTICS
16306 B HWY 84
CHAMA, NM87520
Phone: 575-756-8391
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for PATIENCE GRASSHOPPER THERAPEUTICS

NPI Number 1679860175
Legal business name
LBN
PATIENCE GRASSHOPPER THERAPEUTICS
Authorized official AMILIA ELLIOTT - (OWNER, PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 07/05/2011
Last updated 07/05/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 2983
  • NM Medicaid: 67509533
  • NM Other: NMOOQ782 BCBS

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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