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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174032833 | NPPES |
| New Mexico | MEDICAID | 31071350 |
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