Shinnick, Mary Ann
Shinnick, Mary Ann is an sole proprietor health care provider with primary practice located at 4004 Carlisle Blvd Ne Suite J, Albuquerque NM 87107-4565. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Shinnick, Mary Ann can be contacted via phone (505) 459-7565.Contact Information
Primary practice address
4004 Carlisle Blvd Ne Suite J
Albuquerque NM 87107-4565
Phone: (505) 459-7565
Fax: (505) 294-5887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I04569 | New Mexico |
Profile Details
| NPI number | 1821083130 |
|---|---|
| LBN Legal business name | Shinnick, Mary Ann |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 25th, 2013 - 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 | 1821083130 | NPPES |
| New Mexico | MEDICAID | 100096 |
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