Ivy, Chuck
Ivy, Chuck is an sole proprietor health care provider with primary practice located at 1407 Highland Rd , Roswell NM 88201-2146. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ivy, Chuck can be contacted via phone (575) 208-2918.Contact Information
Primary practice address
1407 Highland Rd
Roswell NM 88201-2146
Phone: (575) 208-2918
Fax: (575) 208-2918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-10013 | New Mexico |
Profile Details
| NPI number | 1134447386 |
|---|---|
| LBN Legal business name | Ivy, Chuck |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2010 |
| Last updated | Mar 5th, 2021 - 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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