Avery, Albert
Avery, Albert is an sole proprietor health care provider with primary practice located at 1201 N 1St St , Bloomfield NM 87413-5271. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Avery, Albert can be contacted via phone (505) 634-3500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | M-10211 | New Mexico |
Profile Details
| NPI number | 1851873798 |
|---|---|
| LBN Legal business name | Avery, Albert |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2018 |
| Last updated | Sep 6th, 2018 - about 6 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 | 1851873798 | NPPES |
| New Mexico | MEDICAID | 1041S0200X |
Popular Providers
-
Hawthorne-Carrasco, Alisha K
325 N Bergin Ln , Bloomfield NM 87413-6729 -
Martinez, Samantha S
97 Holmes Street , Quincy MA 02171 -
King, Zackary
49 Park Pl Apt #6, Bloomfield NJ 07003-3526 -
Martinez, Darlene M
325 N Bergin Ln , Bloomfield NM 87413-6729 -
Oliphant, Maria Lynn
520 N 1St St , Bloomfield NM 87413-5359 -
Nadolny, Wendy Ann
11 W Victory Way Ste 203 , Craig CO 81625 -
Dominguez, Victoria
325 N Bergin Ln , Bloomfield NM 87413-6729 -
Meier, Dani
3343 Spring Arbor Rd Suite 300, Jackson MI 49203-3635