Anderson, Raymond

Anderson, Raymond is an individual health care provider with primary practice located at 2325 Cerrillos Rd , Santa Fe NM 87505-3373. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Anderson, Raymond can be contacted via phone (505) 438-0010.

Contact Information

Primary practice address
2325 Cerrillos Rd Santa Fe NM 87505-3373
Phone: (505) 438-0010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3760 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0087421 New Mexico

Profile Details

NPI number 1316095870
LBN Legal business name Anderson, Raymond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
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 1316095870 NPPES
New Mexico MEDICAID 000G4107
New Mexico MEDICAID 51804808

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