Muskrat, Tera Devon
Muskrat, Tera Devon is an sole proprietor health care provider with primary practice located at 200 Sanders Ln , Ranchos De Taos NM 87557-7809. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Muskrat, Tera Devon can be contacted via phone (505) 737-6150.Contact Information
Primary practice address
200 Sanders Ln
Ranchos De Taos NM 87557-7809
Phone: (505) 737-6150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3863 | New Mexico |
Profile Details
| NPI number | 1396807608 |
|---|---|
| LBN Legal business name | Muskrat, Tera Devon |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1396807608 | NPPES |
| New Mexico | MEDICAID | 19322208 |
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