Boatman, Rose M.
Boatman, Rose M. is an sole proprietor health care provider with primary practice located at 202 E Blodgett St , Carlsbad NM 88220-6302. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boatman, Rose M. can be contacted via phone (505) 628-3034.Contact Information
Primary practice address
202 E Blodgett St
Carlsbad NM 88220-6302
Phone: (505) 628-3034
Fax: (505) 628-3034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-05091 | New Mexico |
Profile Details
| NPI number | 1972676542 |
|---|---|
| LBN Legal business name | Boatman, Rose M. |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | May 16th, 2017 - about 9 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 | 1972676542 | NPPES |
| New Mexico | MEDICAID | 62973762 | |
| New Mexico | Other | 00NM00JL25 | |
| New Mexico | Other | NM202650 |
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