JOTHAM IPPEL
NPI 1356739957
Social Worker - School in Gallup, NM
Active since January 05, 2015
About Jotham Ippel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOTHAM IPPEL (NPI 1356739957) is an individual school provider in Gallup, New Mexico, licensed in New Mexico (M-08872) and active in the NPI registry since January 2015.
NPPES Registry Identity
NPI1356739957
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameJOTHAM IPPEL
Location Address1000 E AZTEC AVEGallup, NM 87301-5509
Mailing Address1000 E Aztec AveGallup, NM 87301-5509 · (505) 721-1182
Phone(505) 721-1182
Sole ProprietorNo
Enumeration DateJanuary 5, 2015
✔ NPI 1356739957 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NM · M-08872
1000 E AZTEC AVE, Gallup, NM 87301
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Speech-Language Pathologist
1000 E AZTEC AVE
GALLUP, NM 87301
GALLUP, NM 87301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356739957, enumerated as an "individual" on January 05, 2015.
The provider is located at 1000 E AZTEC AVE GALLUP, NM 87301 and the phone number is (505) 721-1182.
Social Worker with taxonomy code 1041S0200X and a focus in School.