Individual
MR. MIKE THOMAS TATTERSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(505) 627-2500
(505) 627-2544
Mailing address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(505) 627-2500
(505) 627-2544
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-3505
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73858
—
NM
Enumeration date
02/05/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us