Mckinzie, Elois M
Mckinzie, Elois M is an individual health care provider with primary practice located at 1390 E 20Th St , Farmington NM 87401-9037. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mckinzie, Elois M can be contacted via phone (505) 599-8535.Contact Information
Primary practice address
1390 E 20Th St
Farmington NM 87401-9037
Phone: (505) 599-8535
Fax: (505) 599-8536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | I-04892 | New Mexico |
Profile Details
| NPI number | 1013088624 |
|---|---|
| LBN Legal business name | Mckinzie, Elois M |
| Credentials | MA MSW LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013088624 | NPPES |
| New Mexico | MEDICAID | 43683738 |
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