Kaczmarek, Norman R
Kaczmarek, Norman R is an sole proprietor health care provider with primary practice located at 539 Harkle Rd Suite B, Santa Fe NM 87505-4782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kaczmarek, Norman R can be contacted via phone (505) 988-9769.Contact Information
Primary practice address
539 Harkle Rd Suite B
Santa Fe NM 87505-4782
Phone: (505) 988-9769
Fax: (505) 989-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 78-43 | New Mexico |
Profile Details
| NPI number | 1588763072 |
|---|---|
| LBN Legal business name | Kaczmarek, Norman R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1588763072 | NPPES |
| New Mexico | MEDICAID | 000029991 |
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