Mayfield, Robert C
Mayfield, Robert C is an individual health care provider with primary practice located at 125 Chaparrel Blvd Nw , Deming NM 88030-8629. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mayfield, Robert C can be contacted via phone (575) 546-4800.Contact Information
Primary practice address
125 Chaparrel Blvd Nw
Deming NM 88030-8629
Phone: (575) 546-4800
Fax: (575) 546-0685
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 0943 | New Mexico |
Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | NM 0010C | New Mexico |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0943 | New Mexico |
Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 0008 | New Mexico |
Profile Details
NPI number | 1952465197 |
---|---|
LBN Legal business name | Mayfield, Robert C |
Credentials | PH. D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 21st, 2006 |
Last updated | Jun 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952465197 | NPPES |
New Mexico | MEDICAID | 33530084 | |
New Mexico | MEDICAID | 18677037 | |
New Mexico | MEDICAID | 10075381 | |
New Mexico | Other | 200521039 |
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