Chadborn, Roseanne

Chadborn, Roseanne is an individual health care provider with primary practice located at 901 W. Hickory St. , Deming NM 88030. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Mechanotherapist. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Chadborn, Roseanne can be contacted via phone (575) 546-2174.

Contact Information

Primary practice address
901 W. Hickory St. Deming NM 88030
Phone: (575) 546-2174
Fax: (575) 544-4821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Mechanotherapist 172M00000X 5887 New Mexico

Profile Details

NPI number 1013168608
LBN Legal business name Chadborn, Roseanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Feb 11th, 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 1013168608 NPPES
New Mexico MEDICAID 18677037

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