Hanagan, Mary Beth
Hanagan, Mary Beth is an individual health care provider with primary practice located at 300 N Kentucky Ave , Roswell NM 88201-4636. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Hanagan, Mary Beth can be contacted via phone (505) 627-2647.Contact Information
Primary practice address
300 N Kentucky Ave
Roswell NM 88201-4636
Phone: (505) 627-2647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | M-2973 | New Mexico |
Profile Details
| NPI number | 1548312218 |
|---|---|
| LBN Legal business name | Hanagan, Mary Beth |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1548312218 | NPPES |
| New Mexico | MEDICAID | 61171328 |
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