Gould, Suzannah Miriam
Gould, Suzannah Miriam is an sole proprietor health care provider with primary practice located at Hwy 491 North Pinion Street , Shiprock NM 87420. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gould, Suzannah Miriam can be contacted via phone (505) 368-1050.Contact Information
Primary practice address
Hwy 491 North Pinion Street
Shiprock NM 87420
Phone: (505) 368-1050
Fax: (505) 368-1437
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4441 | New Mexico |
Profile Details
NPI number | 1972769875 |
---|---|
LBN Legal business name | Gould, Suzannah Miriam |
Credentials | LADAC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2008 |
Last updated | Jul 12th, 2019 - 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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