Eisenbrown, Kathleen
Eisenbrown, Kathleen is an sole proprietor health care provider with primary practice located at 343 Main St Nw , Los Lunas NM 87031-8712. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Eisenbrown, Kathleen can be contacted via phone (505) 866-2440.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | I - 2882 | New Mexico |
Profile Details
| NPI number | 1689722142 |
|---|---|
| LBN Legal business name | Eisenbrown, Kathleen |
| Credentials | MSW, LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689722142 | NPPES |
| New Mexico | MEDICAID | K8717 |
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