Baca, Mary Jo Ranells
Baca, Mary Jo Ranells is an sole proprietor health care provider with primary practice located at 2112 Main St Ne Suite A, Los Lunas NM 87031-6353. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baca, Mary Jo Ranells can be contacted via phone (505) 865-6176.Contact Information
Primary practice address
2112 Main St Ne Suite A
Los Lunas NM 87031-6353
Phone: (505) 865-6176
Fax: (505) 865-3268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | M-06042 | New Mexico |
Profile Details
| NPI number | 1811015837 |
|---|---|
| LBN Legal business name | Baca, Mary Jo Ranells |
| Credentials | LMSW, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 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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