Ueland, Eddeana
Ueland, Eddeana is an individual health care provider with primary practice located at 3200 32Nd Street Byp , Silver City NM 88061-7802. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ueland, Eddeana can be contacted via phone (575) 597-2265.Contact Information
Primary practice address
3200 32Nd Street Byp
Silver City NM 88061-7802
Phone: (575) 597-2265
Fax: (575) 597-2651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4110 | Alaska |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0105891 | New Mexico |
Profile Details
| NPI number | 1376093138 |
|---|---|
| LBN Legal business name | Ueland, Eddeana |
| Credentials | L.A.D.A.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2016 |
| Last updated | Jun 11th, 2020 - about 6 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 | 1376093138 | NPPES |
| New Mexico | MEDICAID | 85281352 |
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