Raabe, William Wallace

Raabe, William Wallace is an sole proprietor health care provider with primary practice located at 3821 W College Ln , Hobbs NM 88242-9126. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Raabe, William Wallace can be contacted via phone (575) 392-2231.

Contact Information

Primary practice address
3821 W College Ln Hobbs NM 88242-9126
Phone: (575) 392-2231
Fax: (575) 392-6484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0103031 New Mexico

Profile Details

NPI number 1518106814
LBN Legal business name Raabe, William Wallace
Credentials LADAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2009
Last updated Feb 10th, 2009 - about 16 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 1518106814 NPPES
New Mexico Other 800521083 MEDICARE GROUP NUMBER
New Mexico MEDICAID 000463000 MEDICARE GROUP NUMBER

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