Harris, Ronald L.

Harris, Ronald L. is an sole proprietor health care provider with primary practice located at 101 Letton Dr , Raton NM 87740-4366. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harris, Ronald L. can be contacted via phone (575) 445-8568.

Contact Information

Primary practice address
101 Letton Dr Raton NM 87740-4366
Fax: (575) 445-0540
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1041C0700X New Mexico

Profile Details

NPI number 1477786531
LBN Legal business name Harris, Ronald L.
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2009
Last updated Aug 24th, 2009 - about 17 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 1477786531 NPPES
New Mexico MEDICAID 71525564

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