Masingale, Mary Louise

Masingale, Mary Louise is an individual health care provider with primary practice located at 1714 Carrie St. , Truth Or Consequences (T. Or C) NM 87901. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Masingale, Mary Louise can be contacted via phone (575) 894-7294.

Contact Information

Primary practice address
1714 Carrie St. Truth Or Consequences (T. Or C) NM 87901
Fax: (575) 894-7294
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1306269824
LBN Legal business name Masingale, Mary Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2014
Last updated Oct 19th, 2015 - about 9 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 1306269824 NPPES
New Mexico MEDICAID 74481

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