Foutz, Meshan

Foutz, Meshan is an individual health care provider with primary practice located at 1001 W Broadway , Farmington NM 87401-5638. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Foutz, Meshan can be contacted via phone (505) 327-4796.

Contact Information

Primary practice address
1001 W Broadway Farmington NM 87401-5638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1699491696
LBN Legal business name Foutz, Meshan
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2022
Last updated Oct 19th, 2022 - about 3 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 1699491696 NPPES
Other 107261061 DRIVERS LICENSE

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