Siegel, Edward M
Siegel, Edward M is an sole proprietor health care provider with primary practice located at 301 Johnson Street , Santa Fe NM 87501-1828. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Siegel, Edward M can be contacted via phone (505) 983-3757.Contact Information
Primary practice address
301 Johnson Street
Santa Fe NM 87501-1828
Phone: (505) 983-3757
Fax: (505) 982-3300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 188 | New Mexico |
Profile Details
| NPI number | 1811005747 |
|---|---|
| LBN Legal business name | Siegel, Edward M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Oct 6th, 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 | 1811005747 | NPPES |
| Other | N879 | BCBS | |
| Other | 201009233 | BCBS |
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