Rafferty, Martha
Rafferty, Martha is an sole proprietor health care provider with primary practice located at 1350 Acapulco Rd Ne , Rio Rancho NM 87144-6449. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rafferty, Martha can be contacted via phone (505) 991-0443.Contact Information
Primary practice address
1350 Acapulco Rd Ne
Rio Rancho NM 87144-6449
Phone: (505) 991-0443
Fax: (505) 896-3510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | I-06715 | New Mexico |
Profile Details
| NPI number | 1780856732 |
|---|---|
| LBN Legal business name | Rafferty, Martha |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Mar 21st, 2012 - about 12 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 | 1780856732 | NPPES |
| New Mexico | MEDICAID | 46572341 |
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