Whiteeagle, Roy
Whiteeagle, Roy is an sole proprietor health care provider with primary practice located at 4300 Silver Ave Se Suite F, Albuquerque NM 87108-2748. 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. Whiteeagle, Roy can be contacted via phone (505) 255-1804.Contact Information
Primary practice address
4300 Silver Ave Se Suite F
Albuquerque NM 87108-2748
Phone: (505) 255-1804
Fax: (505) 265-4446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 05998 | New Mexico |
Profile Details
| NPI number | 1376962225 |
|---|---|
| LBN Legal business name | Whiteeagle, Roy |
| Credentials | L.A.D.A.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2014 |
| Last updated | Apr 8th, 2014 - about 12 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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