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
Phone: (505) 890-0444
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871617134 | NPPES |
New Mexico | MEDICAID | G7268 |
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