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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851419121 NPPES
New Mexico MEDICAID 18851419121

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