Ippel, Jotham

Ippel, Jotham is an individual health care provider with primary practice located at 1000 E Aztec Ave , Gallup NM 87301-5509. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Ippel, Jotham can be contacted via phone (505) 721-1182.

Contact Information

Primary practice address
1000 E Aztec Ave Gallup NM 87301-5509
Phone: (505) 721-1182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X M-08872 New Mexico

Profile Details

NPI number 1356739957
LBN Legal business name Ippel, Jotham
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2015
Last updated Jan 5th, 2015 - about 9 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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