Beaudette, Peter Thomas

Beaudette, Peter Thomas is an individual health care provider with primary practice located at 7110 Wyoming Blvd Ne , Albuquerque NM 87109-4867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Beaudette, Peter Thomas can be contacted via phone (505) 346-0500.

Contact Information

Primary practice address
7110 Wyoming Blvd Ne Albuquerque NM 87109-4867
Phone: (505) 346-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 77129 New Mexico

Profile Details

NPI number 1720053200
LBN Legal business name Beaudette, Peter Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Dec 14th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720053200 NPPES
New Mexico Other 11399 PRESBYTERIAN HEALTH PLAN
New Mexico MEDICAID 00002030 PRESBYTERIAN HEALTH PLAN

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