Forlines, Mary M.

Forlines, Mary M. is an individual health care provider with primary practice located at 1900 Redrock Dr Rehoboth Mckinley Christian Health Care Services, Gallup NM 87301-5682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Forlines, Mary M. can be contacted via phone (505) 863-7200.

Contact Information

Primary practice address
1900 Redrock Dr Rehoboth Mckinley Christian Health Care Services Gallup NM 87301-5682
Phone: (505) 863-7200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 457 New Mexico

Profile Details

NPI number 1801866983
LBN Legal business name Forlines, Mary M.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1801866983 NPPES
Other PROVP12986 MOLINA
MEDICAID A7256 MOLINA
Other 10002995 MOLINA
Other 850313268020 MOLINA
MEDICAID 560377 MOLINA
Other NM006605 MOLINA

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