Mitchell, Alta

Mitchell, Alta is an sole proprietor health care provider with primary practice located at 216 W Maloney Ave , Gallup NM 87301-5214. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mitchell, Alta can be contacted via phone (505) 879-5656.

Contact Information

Primary practice address
216 W Maloney Ave Gallup NM 87301-5214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0071741 New Mexico

Profile Details

NPI number 1184124133
LBN Legal business name Mitchell, Alta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2018
Last updated Feb 16th, 2018 - about 7 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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