Crockett, Jamie

Crockett, Jamie is an sole proprietor health care provider with primary practice located at 530 De Moss St , Lordsburg NM 88045-2618. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crockett, Jamie can be contacted via phone (575) 542-2369.

Contact Information

Primary practice address
530 De Moss St Lordsburg NM 88045-2618
Phone: (575) 542-2369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 466 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CTB-2022-0048 New Mexico

Profile Details

NPI number 1326402199
LBN Legal business name Crockett, Jamie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2016
Last updated Apr 12th, 2022 - about 3 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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