Braddock, Amy

Braddock, Amy is an individual health care provider with primary practice located at 1500 S Ave K Station 3, Shroc, Portales NM 88130. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Braddock, Amy can be contacted via phone (575) 562-2724.

Contact Information

Primary practice address
1500 S Ave K Station 3, Shroc Portales NM 88130
Phone: (575) 562-2724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1982084356
LBN Legal business name Braddock, Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2015
Last updated Mar 17th, 2018 - 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.

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