Goldblum, Kate

Goldblum, Kate is an individual health care provider with primary practice located at 303 Mulberry Ne , Albuquerque NM 87106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Ophthalmology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goldblum, Kate can be contacted via phone (505) 243-9739.

Contact Information

Primary practice address
303 Mulberry Ne Albuquerque NM 87106
Phone: (505) 243-9739
Fax: (505) 842-0650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0293583-22 New Mexico
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R11582 New Mexico

Profile Details

NPI number 1134127772
LBN Legal business name Goldblum, Kate
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 5th, 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 1134127772 NPPES
New Mexico MEDICAID 28528042
New Mexico Other 0293583-22

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