Hill, Michael Waidner
Hill, Michael Waidner is an individual health care provider with primary practice located at 2010 Industrial Park Rd , Espanola NM 87532-3600. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hill, Michael Waidner can be contacted via phone (505) 753-7395.Contact Information
Primary practice address
2010 Industrial Park Rd
Espanola NM 87532-3600
Phone: (505) 753-7395
Fax: (505) 753-8373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0088 | New Mexico |
Profile Details
| NPI number | 1306163316 |
|---|---|
| LBN Legal business name | Hill, Michael Waidner |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2010 |
| Last updated | Aug 10th, 2011 - about 14 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 | 1306163316 | NPPES |
| New Mexico | MEDICAID | 91585 | |
| New Mexico | Other | NM100915 |
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