National Provider Identifier Database

SYNERGY WELLNESS CENTER LLC
Primary Podiatric Medicine


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
* Primary Podiatric Medicine 213EP1101X

* Indicates primary specialty

NPI Profile & details for SYNERGY WELLNESS CENTER LLC

NPI Number 1982930160
Legal business name
LBN
SYNERGY WELLNESS CENTER LLC
Authorized official GLORIA GERSTNER - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/23/2009
Last updated 09/24/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 307
  • NM Medicaid: 10007865

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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