Krenik, Timothy D.

Krenik, Timothy D. is an individual health care provider with primary practice located at 8210 Louisiana Blvd. Ne Suite C, Albuquerque NM 87113-1761. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Krenik, Timothy D. can be contacted via phone (505) 858-1222.

Contact Information

Primary practice address
8210 Louisiana Blvd. Ne Suite C Albuquerque NM 87113-1761
Phone: (505) 858-1222
Fax: (505) 858-1224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2003-0018 New Mexico

Profile Details

NPI number 1669451852
LBN Legal business name Krenik, Timothy D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Dec 18th, 2009 - about 17 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 1669451852 NPPES
New Mexico MEDICAID 64782841

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