Okiri, Martin King
Okiri, Martin King is an individual health care provider with primary practice located at 220 S Corbin , Silver City NM 88061. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Okiri, Martin King can be contacted via phone (505) 590-4774.Contact Information
Primary practice address
220 S Corbin
Silver City NM 88061
Phone: (505) 590-4774
Fax: (505) 388-1749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0079181 | New Mexico |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 271997 | New Mexico |
Profile Details
| NPI number | 1972645695 |
|---|---|
| LBN Legal business name | Okiri, Martin King |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| 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 | 1972645695 | NPPES |
| New Mexico | MEDICAID | 0000023 | |
| New Mexico | MEDICAID | 61509337 |
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