Frey, Allen Michael

Frey, Allen Michael is an individual health care provider with primary practice located at Jicarilla Apache Health Care Center 12000 Stone Lake Road, Dulce NM 87528. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Frey, Allen Michael can be contacted via phone (505) 759-3291.

Contact Information

Primary practice address
Jicarilla Apache Health Care Center 12000 Stone Lake Road Dulce NM 87528
Phone: (505) 759-3291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X

Profile Details

NPI number 1629152764
LBN Legal business name Frey, Allen Michael
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated May 27th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629152764 NPPES
New Mexico MEDICAID 000K3526
New Mexico Other HSZ196

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