Wiltfang, Gregory L.
Wiltfang, Gregory L. is an sole proprietor health care provider with primary practice located at 139 S 2Nd St Suite 4, Raton NM 87740-3905. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wiltfang, Gregory L. can be contacted via phone (575) 445-2250.Contact Information
Primary practice address
139 S 2Nd St Suite 4
Raton NM 87740-3905
Phone: (575) 445-2250
Fax: (157) 544-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | M-67045 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-07762 | New Mexico |
Profile Details
| NPI number | 1265665848 |
|---|---|
| LBN Legal business name | Wiltfang, Gregory L. |
| Credentials | PHD, LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2009 |
| Last updated | Nov 21st, 2011 - about 15 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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