King, John

King, John is an individual health care provider with primary practice located at 10110 Spain Rd Ne , Albuquerque NM 87111-1965. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. King, John can be contacted via phone (505) 404-9395.

Contact Information

Primary practice address
10110 Spain Rd Ne Albuquerque NM 87111-1965
Phone: (505) 404-9395
Fax: (505) 299-4740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 71006364 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0969 New Mexico
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X PSY-RXC0074 New Mexico

Profile Details

NPI number 1811977325
LBN Legal business name King, John
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811977325 NPPES
Illinois MEDICAID 71006364

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