Louis, Robert J

Louis, Robert J is an individual health care provider with primary practice located at 310 E Mesa Ave , Gallup NM 87301-6147. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Louis, Robert J can be contacted via phone (505) 979-6102.

Contact Information

Primary practice address
310 E Mesa Ave Gallup NM 87301-6147
Phone: (505) 979-6102
Fax: (505) 863-6103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0118711 New Mexico

Profile Details

NPI number 1639385339
LBN Legal business name Louis, Robert J
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jun 9th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639385339 NPPES
New Mexico MEDICAID 19683537

Popular Providers