Crary, Marjorie Ann
Crary, Marjorie Ann is an sole proprietor health care provider with primary practice located at 415 N Paseo De Onate , Espanola NM 87532-2619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crary, Marjorie Ann can be contacted via phone (505) 927-1652.Contact Information
Primary practice address
415 N Paseo De Onate
Espanola NM 87532-2619
Phone: (505) 927-1652
Fax: (505) 747-7413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LISW I-4522 | New Mexico |
Profile Details
| NPI number | 1174623821 |
|---|---|
| LBN Legal business name | Crary, Marjorie Ann |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1174623821 | NPPES |
| New Mexico | MEDICAID | 34659714 | |
| New Mexico | MEDICAID | 75182360 | |
| New Mexico | Other | 58131 |
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