Ancona, Martin Nicholas

Ancona, Martin Nicholas is an individual health care provider with primary practice located at 320 Mccombs Rd Ste C , Chaparral NM 88081-7937. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Ancona, Martin Nicholas can be contacted via phone (575) 882-5100.

Contact Information

Primary practice address
320 Mccombs Rd Ste C Chaparral NM 88081-7937
Phone: (575) 882-5100
Fax: (575) 882-1151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY60201752 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1296 New Mexico
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 0040C New Mexico

Profile Details

NPI number 1003065749
LBN Legal business name Ancona, Martin Nicholas
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2008
Last updated Feb 28th, 2017 - about 8 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.

Request for update

Popular Providers