Maynes, Raymond
Maynes, Raymond is an sole proprietor health care provider with primary practice located at 1709 Moon St Ne , Albuquerque NM 87112-3935. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Managed Care Organizations / Health Maintenance Organization. Managed Care Organizations / Health Maintenance Organization is his primary health care specialty. Maynes, Raymond can be contacted via phone (505) 271-0329.Contact Information
Primary practice address
1709 Moon St Ne
Albuquerque NM 87112-3935
Phone: (505) 271-0329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Managed Care Organizations / Health Maintenance Organization | 302R00000X |
Profile Details
| NPI number | 1851697429 |
|---|---|
| LBN Legal business name | Maynes, Raymond |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2011 |
| Last updated | Jan 31st, 2011 - about 14 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 | 1851697429 | NPPES |
| New Mexico | MEDICAID | 1093935959 |
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