Boeder, Nicholas
Boeder, Nicholas is an sole proprietor health care provider with primary practice located at 1335 Gusdorf Road Building E, Taos NM 87571. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boeder, Nicholas can be contacted via phone (575) 758-0670.Contact Information
Primary practice address
1335 Gusdorf Road Building E
Taos NM 87571
Phone: (575) 758-0670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-08893 | New Mexico |
Profile Details
| NPI number | 1851786446 |
|---|---|
| LBN Legal business name | Boeder, Nicholas |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2015 |
| Last updated | Dec 15th, 2016 - about 10 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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