Moya, Ralph L.
Moya, Ralph L. is an sole proprietor health care provider with primary practice located at 419 S. 2Nd Street P.O. Box 392, Tucumcari NM 88401-0392. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Moya, Ralph L. can be contacted via phone (505) 306-6064.Contact Information
Primary practice address
419 S. 2Nd Street P.O. Box 392
Tucumcari NM 88401-0392
Phone: (505) 306-6064
Fax: (505) 306-6064
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2596 | New Mexico |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0930 | New Mexico |
Profile Details
NPI number | 1598759912 |
---|---|
LBN Legal business name | Moya, Ralph L. |
Credentials | LISW/LPCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2005 |
Last updated | Nov 27th, 2017 - about 7 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 | 1598759912 | NPPES |
New Mexico | MEDICAID | 95411 |
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