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
Fax: (505) 445-7663
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003837568 NPPES
New Mexico MEDICAID 58230882

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