Boatman, Rose M.

Boatman, Rose M. is an sole proprietor health care provider with primary practice located at 202 E Blodgett St , Carlsbad NM 88220-6302. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boatman, Rose M. can be contacted via phone (505) 628-3034.

Contact Information

Primary practice address
202 E Blodgett St Carlsbad NM 88220-6302
Fax: (505) 628-3034
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-05091 New Mexico

Profile Details

NPI number 1972676542
LBN Legal business name Boatman, Rose M.
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated May 16th, 2017 - about 8 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 1972676542 NPPES
New Mexico MEDICAID 62973762
New Mexico Other 00NM00JL25
New Mexico Other NM202650

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