Pugh-Rivette, Julie Rene'
Pugh-Rivette, Julie Rene' is an individual health care provider with primary practice located at 1001 W Broadway Suite D, Farmington NM 87401-5638. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pugh-Rivette, Julie Rene' can be contacted via phone (505) 566-0338.Contact Information
Primary practice address
1001 W Broadway Suite D
Farmington NM 87401-5638
Phone: (505) 566-0338
Fax: (505) 327-7247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-06055 | New Mexico |
Profile Details
| NPI number | 1457545964 |
|---|---|
| LBN Legal business name | Pugh-Rivette, Julie Rene' |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Jan 27th, 2011 - about 13 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 | 1457545964 | NPPES |
| New Mexico | MEDICAID | 98320751 |
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