Foster, Emma Y.
Foster, Emma Y. is an sole proprietor health care provider with primary practice located at 325 N Bergin Ln , Bloomfield NM 87413-6729. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Foster, Emma Y. can be contacted via phone (505) 632-4389.Contact Information
Primary practice address
325 N Bergin Ln
Bloomfield NM 87413-6729
Phone: (505) 632-4389
Fax: (505) 632-4371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1124308044 |
|---|---|
| LBN Legal business name | Foster, Emma Y. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Mar 13th, 2012 - about 12 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 | 1124308044 | NPPES |
| New Mexico | MEDICAID | 64434826 | |
| New Mexico | MEDICAID | 23189738 |
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