Healthcare Provider Details

I. General information

NPI: 1407539794
Provider Name (Legal Business Name): SYNERGETIC BUSINESS SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 CENTRAL AVE SW UNIT 505
ALBUQUERQUE NM
87102-3159
US

IV. Provider business mailing address

524 CENTRAL AVE SW UNIT 505
ALBUQUERQUE NM
87102-3159
US

V. Phone/Fax

Practice location:
  • Phone: 505-331-1571
  • Fax:
Mailing address:
  • Phone: 505-331-1571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER PADILLA
Title or Position: OWNER
Credential:
Phone: 505-331-1571