Lich, Carla F
Lich, Carla F is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lich, Carla F can be contacted via phone (505) 368-6401.Contact Information
Primary practice address
Us Hwy 491 North
Shiprock NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R32973 | New Mexico |
Profile Details
| NPI number | 1962491795 |
|---|---|
| LBN Legal business name | Lich, Carla F |
| Credentials | CDE CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jan 3rd, 2008 - 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 | 1962491795 | NPPES |
| New Mexico | MEDICAID | A1986 | |
| New Mexico | MEDICAID | 52824021 | |
| New Mexico | MEDICAID | 767345 |
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