Maes, Wayne Rowan
Maes, Wayne Rowan is an sole proprietor health care provider with primary practice located at 4813 Corrales Rd. , Corrales NM 87048-0531. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Maes, Wayne Rowan can be contacted via phone (505) 898-5662.Contact Information
Primary practice address
4813 Corrales Rd.
Corrales NM 87048-0531
Phone: (505) 898-5662
Fax: (505) 898-5890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 266 | New Mexico |
Profile Details
| NPI number | 1780765990 |
|---|---|
| LBN Legal business name | Maes, Wayne Rowan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780765990 | NPPES |
| New Mexico | Other | 00NL86 | BC/BS |
| New Mexico | Other | 59651 | BC/BS |
| New Mexico | MEDICAID | N8313 | BC/BS |
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