Palestine, Michael Dane

Palestine, Michael Dane is an sole proprietor health care provider with primary practice located at 649 Harkle Rd Ste E , Santa Fe NM 87505-4765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Palestine, Michael Dane can be contacted via phone (505) 989-8200.

Contact Information

Primary practice address
649 Harkle Rd Ste E Santa Fe NM 87505-4765
Phone: (505) 989-8200
Fax: (505) 989-8131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 9996 New Mexico

Profile Details

NPI number 1811935208
LBN Legal business name Palestine, Michael Dane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Feb 14th, 2013 - about 13 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 1811935208 NPPES
New Mexico MEDICAID 71946

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