Mcgaughey, Mark C.

Mcgaughey, Mark C. is an individual health care provider with primary practice located at 921 E 21St St Suite D, Clovis NM 88101-4443. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcgaughey, Mark C. can be contacted via phone (505) 762-0212.

Contact Information

Primary practice address
921 E 21St St Suite D Clovis NM 88101-4443
Phone: (505) 762-0212
Fax: (505) 762-0660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 443 New Mexico

Profile Details

NPI number 1093775033
LBN Legal business name Mcgaughey, Mark C.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093775033 NPPES
New Mexico Other 39385 PRESBYTERIAN
New Mexico Other N268 PRESBYTERIAN
New Mexico MEDICAID N0203 PRESBYTERIAN

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