Davis, Martha Walter
Davis, Martha Walter is an individual health care provider with primary practice located at 1751 Old Pecos Trail Suite G, Santa Fe NM 87505-4706. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Martha Walter can be contacted via phone (505) 989-8199.Contact Information
Primary practice address
1751 Old Pecos Trail Suite G
Santa Fe NM 87505-4706
Phone: (505) 989-8199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPCC1977 | New Mexico |
Profile Details
| NPI number | 1710935275 |
|---|---|
| LBN Legal business name | Davis, Martha Walter |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 27th, 2015 - about 9 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 | 1710935275 | NPPES |
| New Mexico | Other | NM00R45L | BCBS OF NM |
| New Mexico | Other | NM101518 | BCBS OF NM |
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