Woodbury, Beverly Ann
Woodbury, Beverly Ann is an sole proprietor health care provider with primary practice located at 40 Hob Rd , Los Lunas NM 87031-7601. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodbury, Beverly Ann can be contacted via phone (505) 865-3092.Contact Information
Primary practice address
40 Hob Rd
Los Lunas NM 87031-7601
Phone: (505) 865-3092
Fax: (505) 865-7721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-04633 | New Mexico |
Profile Details
| NPI number | 1760797666 |
|---|---|
| LBN Legal business name | Woodbury, Beverly Ann |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2010 |
| Last updated | Aug 16th, 2010 - about 15 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 | 1760797666 | NPPES |
| New Mexico | MEDICAID | PENDING |
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