Bollinger, Kerri L.

Bollinger, Kerri L. is an sole proprietor health care provider with primary practice located at 1701 S 11Th St , Tucumcari NM 88401-3715. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bollinger, Kerri L. can be contacted via phone (505) 461-4344.

Contact Information

Primary practice address
1701 S 11Th St Tucumcari NM 88401-3715
Phone: (505) 461-4344
Fax: (505) 461-8033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-06346 New Mexico
Behavioral Health & Social Service Providers / School 1041S0200X M-06346 New Mexico

Profile Details

NPI number 1710026331
LBN Legal business name Bollinger, Kerri L.
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710026331 NPPES
New Mexico MEDICAID 94026556

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