Beebe, Ellen M
Beebe, Ellen M is an individual health care provider with primary practice located at 5757 Harper Dr Ne , Albuquerque NM 87109-3566. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Beebe, Ellen M can be contacted via phone (505) 888-5757.Contact Information
Primary practice address
5757 Harper Dr Ne
Albuquerque NM 87109-3566
Phone: (505) 888-5757
Fax: (505) 889-3589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 659 | New Mexico |
Profile Details
| NPI number | 1245665348 |
|---|---|
| LBN Legal business name | Beebe, Ellen M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2013 |
| Last updated | Dec 5th, 2014 - about 12 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 | 1245665348 | NPPES |
| New Mexico | MEDICAID | 30253373 |
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