Rupard, Lisa J
Rupard, Lisa J is an sole proprietor health care provider with primary practice located at 180 N Date St , Truth Or Consequences NM 87901-2824. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rupard, Lisa J can be contacted via phone (575) 894-8350.Contact Information
Primary practice address
180 N Date St
Truth Or Consequences NM 87901-2824
Phone: (575) 894-8350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-05321 | New Mexico |
Profile Details
| NPI number | 1942321666 |
|---|---|
| LBN Legal business name | Rupard, Lisa J |
| Credentials | L.I.S.W., CHT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Oct 4th, 2013 - about 11 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 | 1942321666 | NPPES |
| New Mexico | MEDICAID | 34228225 |
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