Madrid, M Eileen
Madrid, M Eileen is an sole proprietor health care provider with primary practice located at 419 Manzanares St , Las Vegas NM 87701-3882. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Madrid, M Eileen can be contacted via phone (505) 425-6773.Contact Information
Primary practice address
419 Manzanares St
Las Vegas NM 87701-3882
Phone: (505) 425-6773
Fax: (505) 426-9238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 81-79 | New Mexico |
Profile Details
| NPI number | 1215997358 |
|---|---|
| LBN Legal business name | Madrid, M Eileen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Apr 8th, 2010 - about 16 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 | 1215997358 | NPPES |
| New Mexico | MEDICAID | 00007088 |
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