Maitland, Robert E

Maitland, Robert E is an individual health care provider with primary practice located at 105 W Griggs Ave , Las Cruces NM 88001. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Maitland, Robert E can be contacted via phone (575) 647-2800.

Contact Information

Primary practice address
105 W Griggs Ave Las Cruces NM 88001
Phone: (575) 647-2800
Fax: (575) 647-2898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSA0189151 New Mexico

Profile Details

NPI number 1174032833
LBN Legal business name Maitland, Robert E
Credentials LSAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2017
Last updated Jan 20th, 2020 - about 6 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 1174032833 NPPES
New Mexico MEDICAID 31071350

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