Conder, Loretta A
Conder, Loretta A is an individual health care provider with primary practice located at 203 Hospital Dr , Raton NM 87740-2012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Conder, Loretta A can be contacted via phone (505) 445-7793.Contact Information
Primary practice address
203 Hospital Dr
Raton NM 87740-2012
Phone: (505) 445-7793
Fax: (505) 445-7743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 91-291 | New Mexico |
Profile Details
| NPI number | 1902818719 |
|---|---|
| LBN Legal business name | Conder, Loretta A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jun 26th, 2020 - about 6 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 | 1902818719 | NPPES |
| New Mexico | MEDICAID | 609536 | |
| New Mexico | Other | 1468942 | |
| New Mexico | Other | 019763300 |
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