Deckert, Ethan Benjamin

Deckert, Ethan Benjamin is an individual health care provider with primary practice located at 700 Camino De Salud , Albuquerque NM 87106-3740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Deckert, Ethan Benjamin can be contacted via phone (505) 272-5062.

Contact Information

Primary practice address
700 Camino De Salud Albuquerque NM 87106-3740
Phone: (505) 272-5062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 7977 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7977 Nebraska

Profile Details

NPI number 1326568080
LBN Legal business name Deckert, Ethan Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2017
Last updated Jul 21st, 2022 - about 4 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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