Licht, Annette J

Licht, Annette J is an individual health care provider with primary practice located at 2600 Marble Ne , Albuquerque NM 87131-0001. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Licht, Annette J can be contacted via phone (505) 272-3602.

Contact Information

Primary practice address
2600 Marble Ne Albuquerque NM 87131-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R44145 New Mexico

Profile Details

NPI number 1487636973
LBN Legal business name Licht, Annette J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 14th, 2009 - about 16 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 1487636973 NPPES
New Mexico Other R44145 REGISTERED NURSE

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