Carlton, Debera
Carlton, Debera is an individual health care provider with primary practice located at 428 South Los Lentes Rd 428 South Los Lentes Rd, Los Lunas NM 87031. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Carlton, Debera can be contacted via phone (505) 865-3350.Contact Information
Primary practice address
428 South Los Lentes Rd 428 South Los Lentes Rd
Los Lunas NM 87031
Phone: (505) 865-3350
Fax: (505) 865-4739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1689907073 |
|---|---|
| LBN Legal business name | Carlton, Debera |
| Credentials | PSR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2009 |
| Last updated | Mar 22nd, 2016 - 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 | 1689907073 | NPPES |
| New Mexico | Other | 850294695 | TAX ID |
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