Dean, Jacqueline Kim
Dean, Jacqueline Kim is an individual health care provider with primary practice located at 1617 University Blvd Ne , Albuquerque NM 87102-1710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Dean, Jacqueline Kim can be contacted via phone (505) 341-4841.Contact Information
Primary practice address
1617 University Blvd Ne
Albuquerque NM 87102-1710
Phone: (505) 341-4841
Fax: (505) 345-9914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 2001-170 | New Mexico |
Profile Details
| NPI number | 1184690364 |
|---|---|
| LBN Legal business name | Dean, Jacqueline Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | May 21st, 2012 - about 14 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 | 1184690364 | NPPES |
| New Mexico | MEDICAID | 12737011 |
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