Rodgers, Wendy Ann
Rodgers, Wendy Ann is an individual health care provider with primary practice located at 750 Morris Rd Se , Los Lunas NM 87031-5242. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rodgers, Wendy Ann can be contacted via phone (505) 866-2318.Contact Information
Primary practice address
750 Morris Rd Se
Los Lunas NM 87031-5242
Phone: (505) 866-2318
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-08301 | New Mexico |
Profile Details
| NPI number | 1265700439 |
|---|---|
| LBN Legal business name | Rodgers, Wendy Ann |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2011 |
| Last updated | Aug 27th, 2015 - about 9 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 | 1265700439 | NPPES |
| New Mexico | MEDICAID | 22733027 |
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