Parke, Kristine M
Parke, Kristine M is an individual health care provider with primary practice located at 510 N Guadalupe St Ste C1-C2 , Santa Fe NM 87501-6510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Parke, Kristine M can be contacted via phone (505) 913-4660.Contact Information
Primary practice address
510 N Guadalupe St Ste C1-C2
Santa Fe NM 87501-6510
Phone: (505) 913-4660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20030112 | New Mexico |
Profile Details
| NPI number | 1174512008 |
|---|---|
| LBN Legal business name | Parke, Kristine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Feb 14th, 2012 - about 14 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 | 1174512008 | NPPES |
| Other | 202019234 | PRESBYTERIAN HEALTH PLANS | |
| Other | 15389 | PRESBYTERIAN HEALTH PLANS | |
| Other | 2362512 | PRESBYTERIAN HEALTH PLANS | |
| Other | NM002A15 | PRESBYTERIAN HEALTH PLANS | |
| Other | 10012787 | PRESBYTERIAN HEALTH PLANS | |
| MEDICAID | 16929781 | PRESBYTERIAN HEALTH PLANS |
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