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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811977325 | NPPES |
| Illinois | MEDICAID | 71006364 |
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