Raes, Daniel E
Raes, Daniel E is an individual health care provider with primary practice located at 300 W Country Club Rd Suite# 220, Roswell NM 88201-5202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raes, Daniel E can be contacted via phone (505) 625-1292.Contact Information
Primary practice address
300 W Country Club Rd Suite# 220
Roswell NM 88201-5202
Phone: (505) 625-1292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 94-126 | New Mexico |
Profile Details
| NPI number | 1366439978 |
|---|---|
| LBN Legal business name | Raes, Daniel E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Feb 9th, 2011 - about 15 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 | 1366439978 | NPPES |
| New Mexico | MEDICAID | 30722 | |
| New Mexico | Other | NPI# |
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