Banagay, Eric M.

Banagay, Eric M. is an individual health care provider with primary practice located at 921 E 21St St Suite D, Clovis NM 88101-4443. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Banagay, Eric M. can be contacted via phone (575) 762-0212.

Contact Information

Primary practice address
921 E 21St St Suite D Clovis NM 88101-4443
Phone: (575) 762-0212
Fax: (575) 762-0660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-06885 New Mexico
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0119781 New Mexico

Profile Details

NPI number 1780883264
LBN Legal business name Banagay, Eric M.
Credentials LISW, LADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated May 15th, 2015 - about 9 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 1780883264 NPPES
New Mexico MEDICAID 13683527

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