Firestone, Alan Mark
Firestone, Alan Mark is an individual health care provider with primary practice located at 121 Calle Del Presidente , Bernalillo NM 87004-6091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Firestone, Alan Mark can be contacted via phone (505) 867-2324.Contact Information
Primary practice address
121 Calle Del Presidente
Bernalillo NM 87004-6091
Phone: (505) 867-2324
Fax: (505) 867-3511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 76-34 | New Mexico |
Profile Details
| NPI number | 1881682524 |
|---|---|
| LBN Legal business name | Firestone, Alan Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1881682524 | NPPES |
| New Mexico | MEDICAID | 6239 |
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