Charley, Emerson
Charley, Emerson is an individual health care provider with primary practice located at 2105 Hasler Valley Rd , Gallup NM 87301-8730. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Charley, Emerson can be contacted via phone (505) 471-4985.Contact Information
Primary practice address
2105 Hasler Valley Rd
Gallup NM 87301-8730
Phone: (505) 471-4985
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CSA0209321 | New Mexico |
Profile Details
| NPI number | 1497116206 |
|---|---|
| LBN Legal business name | Charley, Emerson |
| Credentials | LSAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2016 |
| Last updated | Nov 1st, 2023 - about 2 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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