Brumage, Joan
Brumage, Joan is an sole proprietor health care provider with primary practice located at 1213 Michigan Ave , Alamogordo NM 88310-6725. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brumage, Joan can be contacted via phone (575) 921-1616.Contact Information
Primary practice address
1213 Michigan Ave
Alamogordo NM 88310-6725
Phone: (575) 921-1616
Fax: (575) 434-3253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | I05349 | New Mexico |
Profile Details
| NPI number | 1780629063 |
|---|---|
| LBN Legal business name | Brumage, Joan |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Apr 11th, 2013 - about 12 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 | 1780629063 | NPPES |
| New Mexico | MEDICAID | 67659721 |
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