Chmielarczyk, Vincent

Chmielarczyk, Vincent is an individual health care provider with primary practice located at 2590 Camino Entrada , Santa Fe NM 87507-4876. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Chmielarczyk, Vincent can be contacted via phone (505) 946-3233.

Contact Information

Primary practice address
2590 Camino Entrada Santa Fe NM 87507-4876
Phone: (505) 946-3233
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 17857 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 469 Alaska
Nursing Service Providers / Registered Nurse 163W00000X R63290 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CNP01422 New Mexico

Profile Details

NPI number 1619183001
LBN Legal business name Chmielarczyk, Vincent
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Nov 29th, 2011 - about 15 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 1619183001 NPPES
New Mexico MEDICAID 30481775

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