Hart, Angelique Marie

Hart, Angelique Marie is an individual health care provider with primary practice located at 1530 Bishops Lodge Rd , Santa Fe NM 87506-0005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Hart, Angelique Marie can be contacted via phone (505) 983-1293.

Contact Information

Primary practice address
1530 Bishops Lodge Rd Santa Fe NM 87506-0005
Phone: (505) 983-1293
Fax: (505) 467-8309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME64653 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD2006-0057 New Mexico

Profile Details

NPI number 1588621551
LBN Legal business name Hart, Angelique Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 26th, 2013 - about 13 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 1588621551 NPPES
New Mexico MEDICAID 30924049

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