Martinez, Amanda R

Martinez, Amanda R is an individual health care provider with primary practice located at 1615 Ojo Court , Farmington NM 87401. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Martinez, Amanda R can be contacted via phone (505) 564-4804.

Contact Information

Primary practice address
1615 Ojo Court Farmington NM 87401
Phone: (505) 564-4804
Fax: (505) 564-4857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 120815521 New Mexico

Profile Details

NPI number 1740553593
LBN Legal business name Martinez, Amanda R
Credentials CPSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 12 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 1740553593 NPPES
New Mexico Other 120815521 DRIVERS LICENSE NUMBER

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