Jim, Marlene
Jim, Marlene is an individual health care provider with primary practice located at 1001 W Broadway Ste D , Farmington NM 87401-5638. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jim, Marlene can be contacted via phone (505) 325-0238.Contact Information
Primary practice address
1001 W Broadway Ste D
Farmington NM 87401-5638
Phone: (505) 325-0238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1144867706 |
|---|---|
| LBN Legal business name | Jim, Marlene |
| Credentials | PSR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2019 |
| Last updated | Dec 10th, 2019 - about 7 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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