Agodon, Carmelita
Agodon, Carmelita is an individual health care provider with primary practice located at 1901 Redrock Dr Rehoboth Mckinley Christian Health Care Services, Gallup NM 87301-5683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Agodon, Carmelita can be contacted via phone (505) 863-7120.Contact Information
Primary practice address
1901 Redrock Dr Rehoboth Mckinley Christian Health Care Services
Gallup NM 87301-5683
Phone: (505) 863-7120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2001-01 | New Mexico |
Profile Details
| NPI number | 1710965272 |
|---|---|
| LBN Legal business name | Agodon, Carmelita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710965272 | NPPES |
| New Mexico | Other | 10004799 | LOVELACE HEALTH/SALUD |
| New Mexico | Other | P00200853 | LOVELACE HEALTH/SALUD |
| New Mexico | Other | 768781 | LOVELACE HEALTH/SALUD |
| New Mexico | Other | NM009E83 | LOVELACE HEALTH/SALUD |
| New Mexico | Other | 85031326887301A159 | LOVELACE HEALTH/SALUD |
| New Mexico | Other | PROVP11034 | LOVELACE HEALTH/SALUD |
| New Mexico | MEDICAID | 48126705 | LOVELACE HEALTH/SALUD |
| New Mexico | Other | P00211389 | LOVELACE HEALTH/SALUD |
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