Ferrell, Laura Jill

Ferrell, Laura Jill is an sole proprietor health care provider with primary practice located at 4686 Corrales Rd , Corrales NM 87048-8610. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ferrell, Laura Jill can be contacted via phone (505) 890-0444.

Contact Information

Primary practice address
4686 Corrales Rd Corrales NM 87048-8610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 704 New Mexico

Profile Details

NPI number 1871617134
LBN Legal business name Ferrell, Laura Jill
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Aug 31st, 2009 - about 16 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 1871617134 NPPES
New Mexico MEDICAID G7268

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