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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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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