Struck, Erick A
Struck, Erick A is an individual health care provider with primary practice located at 1331 Gusdorf Rd , Taos NM 87571-6282. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Struck, Erick A can be contacted via phone (575) 758-3601.Contact Information
Primary practice address
1331 Gusdorf Rd
Taos NM 87571-6282
Phone: (575) 758-3601
Fax: (575) 758-1058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-08242 | New Mexico |
Profile Details
| NPI number | 1063790566 |
|---|---|
| LBN Legal business name | Struck, Erick A |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2011 |
| Last updated | Jul 1st, 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 | 1063790566 | NPPES |
| New Mexico | MEDICAID | 39822869 |
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