Ewa Antonczyk Md Llc
LBN: Ewa Antonczyk Md Llc
Ewa Antonczyk Md Llc is an health care organization with primary practice located at 3850 Foothills Rd Ste. 9, Las Cruces NM 88011-4632. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Ewa Antonczyk Md Llc can be contacted via phone (575) 382-3700, or through Ferrales, Katrina M via phone (575) 647-8366.
Contact Information
Primary practice address
3850 Foothills Rd Ste. 9
Las Cruces NM 88011-4632
Phone: (575) 382-3700
Fax: (575) 382-3701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005-0482 | New Mexico |
Profile Details
| NPI number | 1972713816 |
|---|---|
| LBN Legal business name | Ewa Antonczyk Md Llc |
| DBA Doing business as | |
| Authorized official | Ferrales, Katrina M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | May 6th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972713816 | NPPES |
| New Mexico | MEDICAID | 64355381 |
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