Thomas, Bryan K

Thomas, Bryan K is an sole proprietor health care provider with primary practice located at 125 La Posta Rd , Taos NM 87571-7240. He recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Thomas, Bryan K can be contacted via phone (575) 737-8189.

Contact Information

Primary practice address
125 La Posta Rd Taos NM 87571-7240
Phone: (575) 737-8189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 0152331 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1831216795
LBN Legal business name Thomas, Bryan K
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2007
Last updated Jul 20th, 2022 - about 3 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 1831216795 NPPES
New Mexico MEDICAID 06525075

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