Washburne, Bruce Douglas
Washburne, Bruce Douglas is an individual health care provider with primary practice located at 1501 San Pedro Dr Se , Albuquerque NM 87108-5153. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Washburne, Bruce Douglas can be contacted via phone (505) 265-1711.Contact Information
Primary practice address
1501 San Pedro Dr Se
Albuquerque NM 87108-5153
Phone: (505) 265-1711
Fax: (505) 256-6414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0957 | New Mexico |
Profile Details
| NPI number | 1093776940 |
|---|---|
| LBN Legal business name | Washburne, Bruce Douglas |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| 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 | 1093776940 | NPPES |
| New Mexico | Other | I-0957 | SOCIAL WORK LICENSE |
Popular Providers
-
Darrow, Dana G
3536 Anderson Ave, Se , Albuquerque NM 87106 -
Buchan, John R
306 San Pablo St Se , Albuquerque NM 87108-3167 -
Wolvington, Carol D
2600 Marble Ne Bldg #2 , Albuquerque NM 87131-0001 -
Lobato, Reynaldo J.
5608 Zuni Rd Se , Albuquerque NM 87108 -
Raybould, Mark William
2811 Indian School Rd Ne , Albuquerque NM 87106-1825 -
Jennings-Peterson, Gail
2600 Marble Ne , Albuquerque NM 87131-0001 -
Dunn, Teresa
1428 Manzano St Ne , Albuquerque NM 87110-5019 -
Leuser, Bart J.
2600 Marble Ne Building 2, Albuquerque NM 87131-5391