Deloach, Marie Tallent
Deloach, Marie Tallent is an sole proprietor health care provider with primary practice located at 500 North Mundo , Dulce NM 87528. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as her primary health care specialty. Deloach, Marie Tallent can be contacted via phone (575) 759-7252.Contact Information
Primary practice address
500 North Mundo
Dulce NM 87528
Phone: (575) 759-7252
Fax: (575) 759-3532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Medical Technologist | 246QM0706X | 03671395 | South Carolina |
Profile Details
| NPI number | 1508138660 |
|---|---|
| LBN Legal business name | Deloach, Marie Tallent |
| Credentials | MT(ASCP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2012 |
| Last updated | Feb 6th, 2012 - about 14 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 | 1508138660 | NPPES |
| New Mexico | Other | HSZ196 | MEDICARE PART B |
| New Mexico | MEDICAID | 000K3526 | MEDICARE PART B |
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