Noltensmeyer, Michael David

Noltensmeyer, Michael David is an individual health care provider with primary practice located at 211 Sudderth Dr , Ruidoso NM 88345-6002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Noltensmeyer, Michael David can be contacted via phone (505) 257-7381.

Contact Information

Primary practice address
211 Sudderth Dr Ruidoso NM 88345-6002
Phone: (505) 257-7381
Fax: (505) 260-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R16486 New Mexico

Profile Details

NPI number 1376545418
LBN Legal business name Noltensmeyer, Michael David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376545418 NPPES
New Mexico Other NM006219 BLUE CROSS BLUE SHIELD
New Mexico MEDICAID 59147 BLUE CROSS BLUE SHIELD
New Mexico MEDICAID 22267 BLUE CROSS BLUE SHIELD
New Mexico MEDICAID 750192 BLUE CROSS BLUE SHIELD

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