Pogue, William Jack
Pogue, William Jack is an sole proprietor health care provider with primary practice located at 313 W Apache St , Farmington NM 87401-5835. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Pogue, William Jack can be contacted via phone (505) 325-5321.Contact Information
Primary practice address
313 W Apache St
Farmington NM 87401-5835
Phone: (505) 325-5321
Fax: (505) 325-6453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1607 | New Mexico |
Profile Details
| NPI number | 1992770242 |
|---|---|
| LBN Legal business name | Pogue, William Jack |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | May 9th, 2023 - about 3 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 | 1992770242 | NPPES |
| New Mexico | Other | 850447796 | SAN JUAN IPA |
| New Mexico | Other | 98965 | SAN JUAN IPA |
| New Mexico | Other | 362 | SAN JUAN IPA |
| New Mexico | MEDICAID | 98965 | SAN JUAN IPA |
| New Mexico | Other | 23788 | SAN JUAN IPA |
| New Mexico | Other | 65613 | SAN JUAN IPA |
| New Mexico | Other | R64S | SAN JUAN IPA |
| New Mexico | Other | 15483 | SAN JUAN IPA |
| New Mexico | MEDICAID | VNM000690T | SAN JUAN IPA |
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