Poel, Mary

Poel, Mary is an individual health care provider with primary practice located at 2111 College Dr , Gallup NM 87301-5600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Poel, Mary can be contacted via phone (505) 863-1820.

Contact Information

Primary practice address
2111 College Dr Gallup NM 87301-5600
Phone: (505) 863-1820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 81-290 New Mexico

Profile Details

NPI number 1356313647
LBN Legal business name Poel, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
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 1356313647 NPPES
New Mexico Other NM002153 BCBS
New Mexico Other PROVP15475 BCBS
New Mexico Other 10002116 BCBS
New Mexico MEDICAID 7849 BCBS
New Mexico Other 85031326887301A165 BCBS
New Mexico MEDICAID 228719 BCBS

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