Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath |
NPI | 1548484116 |
---|---|
Provider Name | Robert D Counts |
First Address | Ranchos De Taos, NM 87557-0732 |
Second Address | Ranchos De Taos, NM 87557-0732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00R76V | BCBS (01) | NM |