Allen, Virginia A
Allen, Virginia A is an individual health care provider with primary practice located at 101 N 2Nd St , Raton NM 87740-3803. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Allen, Virginia A can be contacted via phone (505) 445-7090.Contact Information
Primary practice address
101 N 2Nd St
Raton NM 87740-3803
Phone: (505) 445-7090
Fax: (505) 445-7663
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | I-05743 | New Mexico |
Profile Details
NPI number | 1003837568 |
---|---|
LBN Legal business name | Allen, Virginia A |
Credentials | L.I.S.W. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2006 |
Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003837568 | NPPES |
New Mexico | MEDICAID | 58230882 |
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