Perry, John Wayne
Perry, John Wayne is an individual health care provider with primary practice located at 1320 S Solano Dr , Las Cruces NM 88001-3758. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Perry, John Wayne can be contacted via phone (575) 437-7404.Contact Information
Primary practice address
1320 S Solano Dr
Las Cruces NM 88001-3758
Phone: (575) 437-7404
Fax: (575) 439-2860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 1215274964 | New Mexico |
Profile Details
| NPI number | 1215274964 |
|---|---|
| LBN Legal business name | Perry, John Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2013 |
| Last updated | Jun 12th, 2024 - about 2 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 | 1215274964 | NPPES |
| New Mexico | MEDICAID | 18677037 |
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