Doke, Larry A
Doke, Larry A is an individual health care provider with primary practice located at 1400 Barbara Loop Suite I, Rio Rancho NM 87174-5135. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Doke, Larry A can be contacted via phone (505) 994-4392.Contact Information
Primary practice address
1400 Barbara Loop Suite I
Rio Rancho NM 87174-5135
Phone: (505) 994-4392
Fax: (505) 994-4392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 265 | New Mexico |
Profile Details
| NPI number | 1407933906 |
|---|---|
| LBN Legal business name | Doke, Larry A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1407933906 | NPPES |
| Other | 173089 | MANAGED HEALTH NETWORK | |
| Other | 17736 | MANAGED HEALTH NETWORK | |
| Other | 100601 | MANAGED HEALTH NETWORK | |
| MEDICAID | N8677 | MANAGED HEALTH NETWORK | |
| Other | 42761 | MANAGED HEALTH NETWORK | |
| Other | 2001884 | MANAGED HEALTH NETWORK | |
| Other | 9872 | MANAGED HEALTH NETWORK |
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