Laemmle, Damon

Laemmle, Damon is an individual health care provider with primary practice located at 1300 Camino Sierra Vis 129, Santa Fe NM 87505-1007. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Laemmle, Damon can be contacted via phone (505) 467-2504.

Contact Information

Primary practice address
1300 Camino Sierra Vis 129 Santa Fe NM 87505-1007
Phone: (505) 467-2504
Fax: (505) 467-2646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X M05225 New Mexico

Profile Details

NPI number 1396876108
LBN Legal business name Laemmle, Damon
Credentials SW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1396876108 NPPES
New Mexico MEDICAID 6882854

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