Stoltzfus, Winona

Stoltzfus, Winona is an individual health care provider with primary practice located at 300 San Mateo Blvd Ne Ste 902 , Albuquerque NM 87108-1507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Stoltzfus, Winona can be contacted via phone (505) 222-8684.

Contact Information

Primary practice address
300 San Mateo Blvd Ne Ste 902 Albuquerque NM 87108-1507
Phone: (505) 222-8684
Fax: (505) 222-8675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2001-110 New Mexico
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 2001-110 New Mexico

Profile Details

NPI number 1053387811
LBN Legal business name Stoltzfus, Winona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Feb 18th, 2014 - about 12 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 1053387811 NPPES
New Mexico MEDICAID F2345

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