Bundy, Maria

Bundy, Maria is an individual health care provider with primary practice located at 1615 Ojo Court , Farmington NM 87499. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Bundy, Maria can be contacted via phone (505) 564-4804.

Contact Information

Primary practice address
1615 Ojo Court Farmington NM 87499
Phone: (505) 564-4804
Fax: (505) 564-4857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 101912591 New Mexico

Profile Details

NPI number 1831588771
LBN Legal business name Bundy, Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2015
Last updated Jan 15th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831588771 NPPES
New Mexico Other 101912591 NEW MEXICO DRIVERS LICENSE

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