Martinez, Thedra Luann
Martinez, Thedra Luann is an individual health care provider with primary practice located at 314 Don Fernando St , Taos NM 87571. 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, Thedra Luann can be contacted via phone (505) 747-1991.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0071201 | New Mexico |
Profile Details
| NPI number | 1568551679 |
|---|---|
| LBN Legal business name | Martinez, Thedra Luann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 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.
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