Holcomb, David Carter
Holcomb, David Carter is an sole proprietor health care provider with primary practice located at 255 W Hadley Ave , Las Cruces NM 88005-1806. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Holcomb, David Carter can be contacted via phone (575) 268-2634.Contact Information
Primary practice address
255 W Hadley Ave
Las Cruces NM 88005-1806
Phone: (575) 268-2634
Fax: (866) 611-2571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1056 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0765 | Nevada |
Profile Details
| NPI number | 1790783868 |
|---|---|
| LBN Legal business name | Holcomb, David Carter |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Nov 2nd, 2017 - about 9 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 | 1790783868 | NPPES |
| New Mexico | MEDICAID | NM000650 |
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