Koontz, Rebecca H.
Koontz, Rebecca H. is an individual health care provider with primary practice located at 5011 Montgomery Blvd Ne , Albuquerque NM 87109-1350. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Koontz, Rebecca H. can be contacted via phone (505) 872-3668.Contact Information
Primary practice address
5011 Montgomery Blvd Ne
Albuquerque NM 87109-1350
Phone: (505) 872-3668
Fax: (505) 888-7041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 10852 | New Mexico |
Profile Details
| NPI number | 1134192008 |
|---|---|
| LBN Legal business name | Koontz, Rebecca H. |
| Credentials | CPED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Mar 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134192008 | NPPES |
| New Mexico | Other | NM00TA40 | BC BS NEW MEXICO |
| New Mexico | MEDICAID | 05756863 | BC BS NEW MEXICO |
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