Autry, Joe Bob
Autry, Joe Bob is an individual health care provider with primary practice located at 101 Second North Second Street , Raton NM 87740. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Autry, Joe Bob can be contacted via phone (505) 445-7090.Contact Information
Primary practice address
101 Second North Second Street
Raton NM 87740
Phone: (505) 445-7090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 271964 | New Mexico |
Profile Details
| NPI number | 1528289287 |
|---|---|
| LBN Legal business name | Autry, Joe Bob |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 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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