Kutinac, John G
Kutinac, John G is an sole proprietor health care provider with primary practice located at 1155 S Telshor Blvd Ste 200, Las Cruces NM 88011-1009. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Kutinac, John G can be contacted via phone (505) 522-8002.Contact Information
Primary practice address
1155 S Telshor Blvd Ste 200
Las Cruces NM 88011-1009
Phone: (505) 522-8002
Fax: (505) 522-8027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PA9501 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1157 | New Mexico |
Profile Details
| NPI number | 1508844135 |
|---|---|
| LBN Legal business name | Kutinac, John G |
| Credentials | MA PA LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1508844135 | NPPES |
| New Mexico | MEDICAID | 27146 |
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