Mash, James Micheal

Mash, James Micheal is an sole proprietor health care provider with primary practice located at 413 Sipapu Road , Taos NM 87571. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Mash, James Micheal can be contacted via phone (505) 758-5857.

Contact Information

Primary practice address
413 Sipapu Road Taos NM 87571
Phone: (505) 758-5857
Fax: (505) 758-2832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 0013C New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 609 New Mexico

Profile Details

NPI number 1972553238
LBN Legal business name Mash, James Micheal
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jan 10th, 2008 - about 17 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 1972553238 NPPES
New Mexico MEDICAID 63236079

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