Davis, Martha Walter

Davis, Martha Walter is an individual health care provider with primary practice located at 1751 Old Pecos Trail Suite G, Santa Fe NM 87505-4706. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Martha Walter can be contacted via phone (505) 989-8199.

Contact Information

Primary practice address
1751 Old Pecos Trail Suite G Santa Fe NM 87505-4706
Phone: (505) 989-8199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC1977 New Mexico

Profile Details

NPI number 1710935275
LBN Legal business name Davis, Martha Walter
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 27th, 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 1710935275 NPPES
New Mexico Other NM00R45L BCBS OF NM
New Mexico Other NM101518 BCBS OF NM

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