Draper, John
Draper, John is an individual health care provider with primary practice located at 110 E Mescalero Rd , Roswell NM 88201-6542. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Draper, John can be contacted via phone (505) 623-1480.Contact Information
Primary practice address
110 E Mescalero Rd
Roswell NM 88201-6542
Phone: (505) 623-1480
Fax: (505) 622-3325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 721 | New Mexico |
Profile Details
| NPI number | 1306949516 |
|---|---|
| LBN Legal business name | Draper, John |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | May 1st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306949516 | NPPES |
| New Mexico | MEDICAID | T7878 |
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