Risley, Pamela Anne
Risley, Pamela Anne is an sole proprietor health care provider with primary practice located at 127 Eastgate Dr Suite 206, Los Alamos NM 87544-3300. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Risley, Pamela Anne can be contacted via phone (505) 662-5717.Contact Information
Primary practice address
127 Eastgate Dr Suite 206
Los Alamos NM 87544-3300
Phone: (505) 662-5717
Fax: (505) 662-5717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I 05566 | New Mexico |
Profile Details
| NPI number | 1407070980 |
|---|---|
| LBN Legal business name | Risley, Pamela Anne |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 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 | 1407070980 | NPPES |
| New Mexico | MEDICAID | 95321781 | |
| New Mexico | Other | 00JN33 | |
| New Mexico | Other | 550010004361 |
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