Djrj2

LBN: Djrj3 Medical Services Inc
Djrj2 is an health care organization with primary practice located at 840 Lobo Canyon Rd , Grants NM 87020-2172. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Djrj3 Medical Services Inc can be contacted via phone (505) 404-9132, or through Charles, Joseph M via phone (505) 404-9132.

Contact Information

Primary practice address
840 Lobo Canyon Rd Grants NM 87020-2172
Phone: (505) 404-9132
Fax: (505) 393-1076
Website:
Map and Directions
Authorized official contact:
Name: Charles, Joseph M Doctor of Medicine (MD)
Phone: (505) 404-9132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD2013-0395 New Mexico

Profile Details

NPI number 1922045319
LBN Legal business name Djrj3 Medical Services Inc
DBA Doing business as Djrj2
Authorized official Charles, Joseph M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 3rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922045319 NPPES
Florida MEDICAID 274840100
Florida Other 10-8990
Florida MEDICAID 660226600
Florida MEDICAID 80574271

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