Van Ausdall, Anne Elizabeth
Van Ausdall, Anne Elizabeth is an sole proprietor health care provider with primary practice located at 301 W College Ave Suite 7, Silver City NM 88061-5002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Ausdall, Anne Elizabeth can be contacted via phone (575) 388-1880.Contact Information
Primary practice address
301 W College Ave Suite 7
Silver City NM 88061-5002
Phone: (575) 388-1880
Fax: (575) 388-2284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-3743 | New Mexico |
Profile Details
| NPI number | 1417996059 |
|---|---|
| LBN Legal business name | Van Ausdall, Anne Elizabeth |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 30th, 2010 - about 14 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 | 1417996059 | NPPES |
| New Mexico | MEDICAID | B6155 |
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