Curtis, Mae D.

Curtis, Mae D. is an individual health care provider with primary practice located at Bia Bldg 25 Main Street , Tuba City AZ 86045-1350. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Curtis, Mae D. can be contacted via phone (928) 283-3033.

Contact Information

Primary practice address
Bia Bldg 25 Main Street Tuba City AZ 86045-1350
Fax: (928) 283-3039
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-11008 Arizona

Profile Details

NPI number 1174726152
LBN Legal business name Curtis, Mae D.
Credentials L.I.S.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 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 1174726152 NPPES
Arizona MEDICAID 329492

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