Fleming, Emily Jane

Fleming, Emily Jane is an individual health care provider with primary practice located at 2904 Sudderth Dr , Ruidoso NM 88345. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fleming, Emily Jane can be contacted via phone (575) 491-3300.

Contact Information

Primary practice address
2904 Sudderth Dr Ruidoso NM 88345
Phone: (575) 491-3300
Fax: (844) 876-6786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0177801 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0145681 New Mexico

Profile Details

NPI number 1013288208
LBN Legal business name Fleming, Emily Jane
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2012
Last updated Sep 27th, 2018 - about 6 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 1013288208 NPPES
New Mexico Other 1770941486 GROUP NPI
New Mexico MEDICAID 23700386 GROUP NPI
New Mexico MEDICAID 18677037 GROUP NPI

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