Padilla, Nathan Matthew
Padilla, Nathan Matthew is an sole proprietor health care provider with primary practice located at 1717 W 2Nd St Ste 116 , Roswell NM 88201-2027. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Padilla, Nathan Matthew can be contacted via phone (575) 840-1075.Contact Information
Primary practice address
1717 W 2Nd St Ste 116
Roswell NM 88201-2027
Phone: (575) 840-1075
Fax: (575) 623-1240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-09926 | New Mexico |
Profile Details
| NPI number | 1801129184 |
|---|---|
| LBN Legal business name | Padilla, Nathan Matthew |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2009 |
| Last updated | Oct 25th, 2022 - about 3 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 | 1801129184 | NPPES |
| New Mexico | MEDICAID | 39221008 |
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