Morgan, Clifford O

Morgan, Clifford O is an individual health care provider with primary practice located at 119 Telles St Sw , Los Lunas NM 87031-8518. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Morgan, Clifford O can be contacted via phone (505) 865-7100.

Contact Information

Primary practice address
119 Telles St Sw Los Lunas NM 87031-8518
Fax: (505) 865-7100
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 174 New Mexico

Profile Details

NPI number 1144345109
LBN Legal business name Morgan, Clifford O
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 27th, 2013 - about 13 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 1144345109 NPPES
New Mexico MEDICAID N6200

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