Powell, Alec J'Dan

Powell, Alec J'Dan is an individual health care provider with primary practice located at 315 S. Hudson Ste #6 , Silver City NM 88061. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Powell, Alec J'Dan can be contacted via phone (575) 388-4412.

Contact Information

Primary practice address
315 S. Hudson Ste #6 Silver City NM 88061
Phone: (575) 388-4412
Fax: (575) 534-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN-78019 New Mexico

Profile Details

NPI number 1720406713
LBN Legal business name Powell, Alec J'Dan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Apr 7th, 2014 - about 10 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 1720406713 NPPES
New Mexico MEDICAID 18677037

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