Silla, Mark Anthony
Silla, Mark Anthony is an sole proprietor health care provider with primary practice located at 6276 Terrell Dr , Tucumcari NM 88401-9547. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Silla, Mark Anthony can be contacted via phone (505) 708-0033.Contact Information
Primary practice address
6276 Terrell Dr
Tucumcari NM 88401-9547
Phone: (505) 708-0033
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 010371 | New Mexico |
Profile Details
NPI number | 1851419121 |
---|---|
LBN Legal business name | Silla, Mark Anthony |
Credentials | LPCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 26th, 2007 |
Last updated | Nov 2nd, 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 | 1851419121 | NPPES |
New Mexico | MEDICAID | 18851419121 |
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